Active NPI
Joseph Alan Nelson, RN
- Registered Nurse
- Woodridge, IL
National Provider Identifier
1487229357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.486660
- Practice address
- 7125 Janes Ave Ste 300
Woodridge, IL 60517-2304 - Phone
- (630) 981-8000
- NPI assigned
- May 24, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.486660 | IL | Primary |
Addresses
Primary practice location
7125 Janes Ave Ste 300
Woodridge, IL 60517-2304
Mailing address
768 Lake Rd
New Lenox, IL 60451-3644
Phone (815) 793-4596
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.486660 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1487229357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 LAKE RD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513644",
"telephone_number": "815-793-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 JANES AVE STE 300",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172304",
"telephone_number": "630-981-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JOSEPH",
"middle_name": "ALAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.486660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.