Jennifer Larae Nelson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

107050 Issued in KS

Practice address

8917 W Nantucket St
Wichita, KS 67212-1346

Phone

(785) 341-5561

NPI assigned

Apr 10, 2012

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1629334040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 W NANTUCKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121346",
            "telephone_number": "785-341-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8917 W NANTUCKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121346",
            "telephone_number": "785-341-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "middle_name": "LARAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "107050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna M Nelson, LMSW
• Crystal A Nelson, PA-C
• Falon Marie Nelson
• Gerald Dale Nelson, MD
• Holly Marie Nelson, CCC-SLP
• Kathryn Nelson
• Kenneth W. Nelson, D.D.S.
• Krista Joy Nelson
• Laura Eileen Nelson
• Michael Tyler Nelson, DO

• Registered Nurse in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.