Kristin Nelson, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISTIN NELSON, LLC

Doing business as

Kristin Nelson, LLC

Practice address

821 Raymond Ave Ste 220
Saint Paul, MN 55114-1525

Phone

(651) 964-8967

Fax

(651) 964-8967

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristin Lynn Nelson, PSYD, LPNPI 1205105426

Title

Clinical Psychology

Phone

(651) 964-8967

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristin Nelson, LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Lynn Nelson, PSY.D.

  • Student in an Organized Health Care Education/Training Program
  • Saint Paul, MN
  • NPI 1205105426
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1316675093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "651-964-8967",
            "fax_number": "651-412-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "651-964-8967",
            "fax_number": "651-964-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN NELSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGY",
        "authorized_official_telephone_number": "651-964-8967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205105426",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin@drkristinnelson.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "821 Raymond Ave Ste 220",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551141525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kristin Nelson, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alissa Kaye Kreuscher
• Maria Kreye, DC
• Robin G Kriedeman, NNP
• Kimberly Marie Kringle, PHARMD
• Madison R Krings, MA
• Tracy Kritz, MD
• Jasmine Kroese, MA
• Karly Marie Kroeten, PA-C
• Penny L Krogmann, CNS
• Jill Michelle Krokowski, MSPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.