Deborah Nelson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R21288 Issued in ND

Practice address

401 3Rd Ave N
Fargo, ND 58102-4811

Phone

(701) 241-1360

Fax

(701) 241-8559

NPI assigned

Oct 26, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

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.

• City of Fargo

  • State or Local Public Health Clinic/Center
  • Fargo, ND
  • NPI 1891879839
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356426415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 3RD AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024811",
            "telephone_number": "701-241-1360",
            "fax_number": "701-241-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 3RD AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024811",
            "telephone_number": "701-241-1360",
            "fax_number": "701-241-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEBORAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R21288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15451",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "167M9NE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce A Nelson, MD
• Bryce Nelson, OTR/L
• Carrie Nelson, NP
• Chad M Nelson, PHARM D
• Clayton Harlan Nelson, MSW
• Ellen Marie Nelson, PMHNP-BC
• Gail Lyn Nelson
• Georgette Karen Nelson
• Hannah Nelson, PA
• Heidi Nelson, OTR/L

• Family Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.