Kailey Ann Nelson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

851 SE Pioneer Way #201
Oak Harbor, WA 98277

Phone

(360) 333-5684

NPI assigned

Aug 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Water Behavioral Consulting LLC

  • Community/Behavioral Health Agency
  • Oak Harbor, WA
  • NPI 1811311517
  NPD

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1316824436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 SE PIONEER WAY #201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 SE PIONEER WAY #201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-333-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KAILEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2041449",
            "affiliation": "N",
            "endpointDescription": "Medicaid number",
            "address_1": "851 SE Pioneer Way #201",
            "city": "Oak Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mynd Group LLC
• Theresa M Nagel, RN
• Nathan Nakano, DMD
• Mark B Naluz
• Jessica Benedetto Neal
• Carey Louise Neves, PHYSICAL THERAPIST
• New Beginnings
• New Path LLC
• Kimberly Newcomb
• Jenny Nguyen

• Behavior Technician in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.