Russell Joseph Nelson, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS003338 Issued in OH

Practice address

1526 Republic St
Cincinnati, OH 45202-7016

Phone

(513) 241-2965

NPI assigned

Feb 15, 2023

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1043752058
  NPD (past)
• Joseph House, Inc.

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1548514516
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1558068916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 REPUBLIC ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027016",
            "telephone_number": "513-241-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 REPUBLIC ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027016",
            "telephone_number": "513-241-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RUSSELL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS003338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Urdahl Kay Nelson
• Meredith Ann Nelson, PHD
• Naveena Nelson, MD
• Nicole Nelson
• Patina E Nelson, LCDCIII
• Shaniecia Nelson, LPN
• Tanaya N Nelson
• W. Michael Nelson III, PHD
• Amy Nichole Neltner, PT
• Ashley Neltner, RPH

• Peer Specialist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.