Rebecca Joan Nelson, M.S.

Primary specialty

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

License

74000080A Issued in IN

Practice address

11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739

Phone

(833) 724-8326

Fax

(260) 425-6845

NPI assigned

Jul 23, 2014

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

State licenses

Practice roles

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.

• Parkview Hospital Inc.

  • Home Infusion Agency
  • Fort Wayne, IN
  • NPI 1780680942
  NPD (past)
• Radiation Oncology Associates P C

  • Radiation Oncology Physician
  • Fort Wayne, IN
  • NPI 1457337719
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1457769432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 NEW VISION DR BLDG B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 PARKVIEW CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451739",
            "telephone_number": "833-724-8326",
            "fax_number": "260-425-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REBECCA",
        "middle_name": "JOAN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IN",
            "license": "74000080A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Nelson, M.A., CCC-SLP
• Jennifer Nelson, MSW, LCSW
• Jennifer M Nelson, SA-C
• Lynn Ann Nelson
• Madison Nelson
• Ross Tyler Nelson, PT, DPT
• Ryan P Nelson, DPT
• Neossia Inc
• Nephrology Associates of Northern Indiana, Inc
• Bruce Edward Nerenberg, PH.D.

• Genetic Counselor (M.S.) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Genetic Counselor (M.S.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.