Brian Nelson, CADC-00329-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADC--00329-C Issued in NV

Practice address

35 W 1St St
Winnemucca, NV 89445-3137

Phone

(775) 304-0757

NPI assigned

Apr 6, 2016

Sex

Male

Sole proprietor

Yes

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1497119325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 JASON CT",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894458296",
            "telephone_number": "775-304-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 1ST ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453137",
            "telephone_number": "775-304-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRIAN",
        "credential": "CADC-00329-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "CADC--00329-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Hearing Centers, LLC
• NA
• Tiffani Nalivka, MS, RD
• Nate Swensen DMD LLC
• National Birth Centers, Inc.
• Crystal M Nelson
• Nevada State Health Division/Far Nursin
• Nevada State Health Division/Far Nursin
• Krysta Mariel Ngo
• Silver L Nichols

• All providers in Winnemucca, NV
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.