Active NPI
Wellness 1St of Austin Inc
- Chiropractor
- Austin, MN
National Provider Identifier
1528255973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- WELLNESS 1ST OF AUSTIN INC
- Practice address
- 300 W Oakland Ave
Austin, MN 55912 - Phone
- (507) 437-7781
- Fax
- (507) 437-2937
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly J Nesvold, DC
- Title
- Doctor
- Phone
- (507) 437-7781
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
300 W Oakland Ave
Austin, MN 55912
Mailing address
300 W Oakland Ave
Austin, MN 55912
Phone (507) 437-7781
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00236504 | Other | MN | RAILROAD |
| 819637100 | Medicaid | MN | |
| 906S3WE | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
204 4th St SW
Austin, MN 55912
Phone (507) 433-6344
300 W Oakland Ave
Austin, MN 55912
Phone (507) 437-7781
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Austin, MN
- NPI 1861523037
-
- General Practice Dentistry
- Austin, MN
- NPI 1386775377
-
- Dentist
- Austin, MN
- NPI 1720015522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352851200000",
"number": "1528255973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W OAKLAND AVE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "55912",
"telephone_number": "507-437-7781",
"fax_number": "507-437-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W OAKLAND AVE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "55912",
"telephone_number": "507-437-7781",
"fax_number": "507-437-2937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS 1ST OF AUSTIN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2012-11-14",
"status": "A",
"authorized_official_last_name": "NESVOLD",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "507-437-7781",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00236504",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "819637100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "906S3WE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, MN
- Kim Wangen
- Wapiti Meadows Community Technologies and Services
- Wapiti Meadows Community Technologies and Services
- Rachel Lee Weatherly, RDH, BSDH, QOM
- Kari Lynne Weber, RRT, AE-C
- Wellness Counseling Studio LLC
- Madeline Westrom
- Jenna R Wheeler Anderson, MD
- Whitehurst and Nguyen Dental PLLC (Legacy Dental)
- Lauren Michelle Whitehurst, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.