Individual provider Active NPI

Alan Arthur Nelson, M.D.

  • Psychiatry Physician
  • Carbondale, CO
National Provider Identifier
1376668681
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32214 Issued in CO
Practice address
1101 Village Rd
Suite Ul5C
Carbondale, CO 81623-2518
Phone
(970) 963-1588
Fax
(970) 963-1588
NPI assigned
Mar 20, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 32214 CO Primary

Addresses

Primary practice location

1101 Village Rd
Suite Ul5C
Carbondale, CO 81623-2518

Mailing address

1101 Village Rd
Suite Ul5C
Carbondale, CO 81623-2518
Phone (970) 963-1588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32214COMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376668681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 VILLAGE RD",
            "address_2": "SUITE UL5C",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232518",
            "telephone_number": "970-963-1588",
            "fax_number": "970-963-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VILLAGE RD",
            "address_2": "SUITE UL5C",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816232518",
            "telephone_number": "970-963-1588",
            "fax_number": "970-963-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALAN",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "32214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

Verify at the official NPI Registry.