Jennifer L Nelson, CAREGIVER

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

514 Driftwood Point Rd
Santa Rosa Beach, FL 32459-3020

Phone

(850) 830-4217

NPI assigned

Aug 5, 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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1659926897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 DRIFTWOOD POINT RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593020",
            "telephone_number": "850-830-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 DRIFTWOOD POINT RD",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593020",
            "telephone_number": "850-830-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CAREGIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Musick, PHARMD
• Heather Edson Myers, MS, CCC-SLP
• N. David Hubbard, LMHC, PL
• Sana Nasiruddin, RBT
• Csilla H Nelson
• Kristen Nelson, OT
• Nexus DME LLC
• Kim Khanh Thi Nguyen, PHARM.D
• Ryan Nicholas Nolte, M.D.
• North Florida Surgeons, PA (NFS Northwest Florida Spine, LLC)

• Attendant Care Provider in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.