Mary M Nelson

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

3350 42ND St S Apt 110
Fargo, ND 58104-6950

Phone

(701) 799-0190

NPI assigned

Aug 19, 2019

Sex

Female

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

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1619524352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 42ND ST S APT 110",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046950",
            "telephone_number": "701-799-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 42ND ST S APT 110",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046950",
            "telephone_number": "701-799-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinsey Bjorn Nelson, M.D.
• Kristin Rae Nelson, DNP, CRNA
• Larry Allan Nelson
• Laura Horecka Nelson, CNCT, R. EEG T.
• Lindsey N Nelson, APRN,CRNA
• Matthew Nelson
• Melissa Ann Nelson
• Merlin V Nelson, MD
• Nicole M Nelson, CRNA
• Nora Ann Nelson, MD

• Attendant Care Provider in Fargo, ND
• Providers in Fargo, ND by specialty
• Attendant Care Provider in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.