Active NPI
Janessa Capri Nelson, A1C, MBA
- Personal Care Attendant
- Ferguson, MO
National Provider Identifier
1306131818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 210 N Dade Ave
Ferguson, MO 63135-1825 - Phone
- (314) 495-0117
- Fax
- (314) 521-3428
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary | ||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
210 N Dade Ave
Ferguson, MO 63135-1825
Mailing address
PO Box 35135
Ferguson, MO 63135-0635
Phone (314) 495-0117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1306131818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35135",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631350635",
"telephone_number": "314-495-0117",
"fax_number": "314-521-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N DADE AVE",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631351825",
"telephone_number": "314-495-0117",
"fax_number": "314-521-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JANESSA",
"middle_name": "CAPRI",
"name_prefix": "Mrs.",
"credential": "A1C, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferguson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.