Active NPI
Christopher John Nelson, D.O.
- Emergency Medicine Physician
- Waco, TX
National Provider Identifier
1376815019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- Q5050
- Practice address
- 6901 Medical Pkwy
Waco, TX 76712-7910 - Phone
- (254) 751-4000
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q5050 | TX | Primary |
Addresses
Primary practice location
6901 Medical Pkwy
Waco, TX 76712-7910
Mailing address
6300 La Calma Dr
Austin, TX 78752-3843
Phone (512) 302-4377
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q5050 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1376815019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 LA CALMA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523843",
"telephone_number": "512-302-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PKWY",
"city": "WACO",
"state": "TX",
"postal_code": "767127910",
"telephone_number": "254-751-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q5050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.