Thomas Nelson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95035369 Issued in CA

Practice address

2777 Ventura Ave
Santa Rosa, CA 95403-2226

Phone

(707) 565-1400

NPI assigned

Jul 10, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1487545315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 VENTURA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032226",
            "telephone_number": "650-303-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 VENTURA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032226",
            "telephone_number": "707-565-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95035369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M Nelson
• Mickie G Nelson, LCSW
• Patricia R Nelson
• Raquel Nelson, CMT
• Rebecca Howe Nelson, RPT
• Nephrology Associates
• Marie Nersesian, MA
• Christina Elizabeth Ness, L.AC.
• Mark Alan Netherda, M.D.
• Robynne Neuhaus, B.S. OTR/L

• Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.