Nicole Nelson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F09230122 Issued in CT

Practice address

30 Buxton Farm Rd Ste 230
Stamford, CT 06905-1206

Phone

(203) 914-1900

NPI assigned

Sep 14, 2023

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1720865538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD STE 230",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051206",
            "telephone_number": "203-914-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD STE 230",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051206",
            "telephone_number": "203-914-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "F09230122",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "12484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Melissa Navedo
• Darlene S Negbenebor, M.D.
• Mariana Negrila, NP
• Isabel Negron, LMSW
• Michele L. Nelson-Wilkins, APRN
• Eric Cameron Nemec II, PHARMD, MEHP, BCPS
• Geoffrey Leland Nemser, OD
• Caitlin Elizabeth Nesi, OTR/L
• Paul Daniel Neubauer, M.D.
• Santi J Neuberger, M.D.

• Family Medicine Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.