Kristie A Nelson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29568 Issued in CA

Practice address

500 N 9TH St
Suite a
Modesto, CA 95350-5814

Phone

(209) 527-4597

NPI assigned

Jan 26, 2011

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of StanislausGroup PAC ID 0648183996, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1023681301

  CA

  Medicare reassignment Care Compare group NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1154524445

  CA

  Medicare reassignment Care Compare group NPD
• County of Stanislaus

  • Clinic/Center
  • Turlock, CA
  • NPI 1831394998

  CA

  Medicare reassignment Care Compare group NPD
• County of Stanislaus

  • Clinic/Center
  • Modesto, CA
  • NPI 1093910275
  Care Compare group
• County of Stanislaus

  • State or Local Public Health Clinic/Center
  • Modesto, CA
  • NPI 1164745840
  Care Compare group
• County of Stanislaus

  • Clinic/Center
  • Modesto, CA
  • NPI 1396941464
  Care Compare group
• County of Stanislaus

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1629094891
  Care Compare group
• County of Stanislaus

  • Clinic/Center
  • Modesto, CA
  • NPI 1891991741
  Care Compare group
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1265634281
  NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1972627107
  NPD

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1457656258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 9TH ST",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505814",
            "telephone_number": "209-604-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 9TH ST",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505814",
            "telephone_number": "209-527-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTIE",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April N Nelson-Ehlers, SURGICAL ASSISTANT
• Alexandria R Nelson
• Elizabeth Denise Nelson, CADC-CAS
• Gabrielle Nelson
• Jessica Nelson
• Nancy Lynette Nelson
• Reginald Nelson
• Maria Nenova, PHD
• Angela Duran Neo
• Raymond Nepomuceno, DDS

• All providers in Modesto, CA
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.