Katherine Nelson, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

877 Executive Center Dr W Ste 206
St Petersburg, FL 33702-2472

Phone

(760) 610-6744

NPI assigned

Jul 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1427077221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 EXECUTIVE CENTER DR W STE 206",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022472",
            "telephone_number": "760-610-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 EXECUTIVE CENTER DR W STE 206",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022472",
            "telephone_number": "760-610-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_2": "Department of Pedatrics-Genetics",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-713-7530",
            "fax_number": "336-713-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHERINE",
        "name_prefix": "Miss",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Nelson
• Cory Nelson, M.D.
• Craig Livezey Nelson, DMD
• Deborah Ann Nelson, OTRL
• Jan Nelson
• Rachael Nelson
• Robert Sherwood Nelson, M.D.
• Sarah Elizabeth Nelson, P.A.-C.
• Stephen George Nelson, M.D.
• Veronica Nelson

• Genetic Counselor (M.S.) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Genetic Counselor (M.S.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.