Individual provider Active NPI

Nyna J Nelson, RN-CS, FNP, GNP

  • Gerontology Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1669684395
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
G332328 Issued in CA
Practice address
31 Natoma St Ste 110
Folsom, CA 95630-2658
Phone
(916) 294-0300
Fax
(916) 294-0324
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X G332328 CA
Gerontology Nurse Practitioner 363LG0600X G332328 CA Primary

Addresses

Primary practice location

31 Natoma St Ste 110
Folsom, CA 95630-2658

Mailing address

31 Natoma St Ste 110
Folsom, CA 95630-2658
Phone (916) 294-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4440CAMDOccupational Therapist
G332328CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669684395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NATOMA ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302658",
            "telephone_number": "916-294-0300",
            "fax_number": "916-294-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NATOMA ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302658",
            "telephone_number": "916-294-0300",
            "fax_number": "916-294-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NYNA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RN-CS, FNP, GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "G332328",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "G332328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.