Active NPI
Nicole Morrissey, RD, CDCES, BC-ADM
- Registered Dietitian
- Delaware, OH
National Provider Identifier
1376775643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 567 Bettmann St
Delaware, OH 43015-3454 - Phone
- (740) 513-3510
- NPI assigned
- Aug 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
567 Bettmann St
Delaware, OH 43015-3454
Mailing address
3900 Hollywood Road
St. Joseph, MI 49085
Phone (708) 945-4502
Other names 1
- Nicole R Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6569 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1376775643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 HOLLYWOOD ROAD",
"city": "ST. JOSEPH",
"state": "MI",
"postal_code": "49085",
"telephone_number": "708-945-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 BETTMANN ST",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430153454",
"telephone_number": "740-513-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "RD, CDCES, BC-ADM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "NELSON",
"middle_name": "R",
"credential": "MS, RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.