David L. Nelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11637 Issued in NH

Practice address

25 Mt. Eustis Road
Ammonoosuc Community Health Services, Inc.
Littleton, NH 03561-3712

Phone

(603) 444-2464

Fax

(603) 444-3441

NPI assigned

Mar 15, 2006

Sex

Male

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

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: davidnelson@achs.medalliesdirect.net

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1457320178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MT. EUSTIS ROAD",
            "address_2": "AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2464",
            "fax_number": "603-444-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MT. EUSTIS ROAD",
            "address_2": "AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613712",
            "telephone_number": "603-444-2464",
            "fax_number": "603-444-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203035",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009024",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew John Nadeau, ATC
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• Nfi North Inc.
• Giao Nguyen, PHARMD
• Carly Nielsen

• Family Medicine Physician in Littleton, NH
• Providers in Littleton, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.