Deanna J Nelson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1533 Issued in MN

Practice address

5200 Fairview Boulevard
Fairview Sports and Orthopedic Care
Wyoming, MN 55092

Phone

(651) 982-7495

Fax

(651) 982-7539

NPI assigned

Oct 29, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1346493723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BOULEVARD",
            "address_2": "FAIRVIEW SPORTS AND ORTHOPEDIC CARE",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "55092",
            "telephone_number": "651-982-7495",
            "fax_number": "651-982-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BOULEVARD",
            "address_2": "FAIRVIEW SPORTS AND ORTHOPEDIC CARE",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "55092",
            "telephone_number": "651-982-7495",
            "fax_number": "651-982-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEANNA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Marie Morrison, PA-C
• Jenna Lynn Moscherosch, MS PAC
• Carol Lee Mueller-Leavitt, PT
• Nalu Therapy, LLC.
• NBH Cranberry Acres LLC
• Mark Douglas Nelson, R. PH.
• Daniel Rupert Neren, MD
• Sue Nielsen, MD
• Jennifer Norstrem, LISW
• North Metro Anesthesia Services P.a.

• Athletic Trainer in Wyoming, MN
• Providers in Wyoming, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.