Heather Nelson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5007322 Issued in NC

Practice address

4003 N Roxboro St
Durham, NC 27704-2119

Phone

(919) 220-3333

Fax

(919) 220-6317

NPI assigned

Feb 19, 2014

Last updated

Dec 9, 2014By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1659796217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042119",
            "telephone_number": "919-220-3333",
            "fax_number": "919-220-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042119",
            "telephone_number": "919-220-3333",
            "fax_number": "919-220-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Andrew Nelsen, M.D.
• Jonathan Rann Nelson-Chavis, LAT, ATC
• Brian Nelson, M.D.
• Brooke Nelson
• Diana Christine Nelson, PA-C
• James M Nelson, DDS
• Jasmine Michelle Nelson, LCSW-A
• Jennifer Lauren Nelson, FNP-C
• Kyleigh Nelson
• Lionel Matthew Nelson Sr., D.M.D.

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.