Emily Nelson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5112 Issued in AZ

Practice address

16838 E Palisades Blvd Ste C153
Fountain Hills, AZ 85268-3791

Phone

(480) 816-3131

Fax

(480) 816-3136

NPI assigned

Apr 5, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588920334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD STE C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683791",
            "telephone_number": "480-816-3131",
            "fax_number": "480-816-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD STE C153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683791",
            "telephone_number": "480-816-3131",
            "fax_number": "480-816-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nassim Haddad MD PLLC
• Annmarie Naylor, CMM
• Dakota Neidhardt
• Elizabeth Anne Coloccia Nelsen, M.S., CCC-SLP
• Dallas Michelle Nelson, OTR
• Autumn Nesbitt
• Ryan Neslund, PT, DPT, CSCS
• Andrew Neuenswander, OTR/L
• Nancy Newlin, MD
• Danielle Leigh Nguyen, EDS

• Medical Physician Assistant in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.