Niels C S Nielsen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD60133289 Issued in WA

Practice address

4020 E Madison St Ste 240
Seattle, WA 98112-3150

Phone

(206) 456-2559

Fax

(888) 419-3592

NPI assigned

May 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: nnielsen1042718@wm.providencedirect.org

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1497969893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 E MADISON ST STE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123150",
            "telephone_number": "206-456-2559",
            "fax_number": "888-419-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 E MADISON ST STE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123150",
            "telephone_number": "206-456-2559",
            "fax_number": "888-419-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "NIELS",
        "middle_name": "C S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60133289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20089895",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica C Nielsen
• John Richard Nielsen, PT
• Katie Ruth Nielsen, MD
• Kristin Ann Nielsen, MS, LMFT, MHP
• Nadine Myhre Nielsen, A.R.N.P.
• Rebecca L Nielsen, OT
• Sarah Nielsen
• Shana Lyn Nielsen, OTR
• James Robert Nielson, MSW, LICSW
• Kiyle Nieman

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.