Donna Nelson

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

MK979776 Issued in OH

Practice address

1095 Nautica LN
Painesville, OH 44077-7908

Phone

(203) 857-9481

NPI assigned

Oct 11, 2021

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

State licenses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1699437228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NAUTICA LN",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440777908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NAUTICA LN",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440777908",
            "telephone_number": "203-857-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OH",
            "license": "MK979776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakea Moses
• John J Murphy, DO
• Doris A Myers, DO
• Frank Jay Myers, DO
• Nicole Elizabeth Myers
• Ellen Geralyn Nelson, COTA/L
• Jason Nemunaitis
• Constance Lynn Ness
• Neurologic Associates of Lake County, Inc.
• Sara Nocero, MS, RD, LD

• Dental Assistant in Painesville, OH
• Providers in Painesville, OH by specialty
• Dental Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.