Todd Gordon Nelson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP60786034 Issued in WA

Practice address

521 Adams Ave
Morton, WA 98356-9323

Phone

(360) 496-5112

Fax

(360) 496-3508

NPI assigned

Jun 27, 2006

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Lewis County Hospital District No. 1

  dba Arbor Health Morton Hospital

  • Emergency Medicine Physician
  • Morton, WA
  • NPI 1205882909
  Medicare reassignment NPD
• Public Hospital District No 1 of Mason County

  dba Mason General Hospital Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Shelton, WA
  • NPI 1164650032

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lewis County Hospital District No. 1

  • Rural Health Clinic/Center
  • Packwood, WA
  • NPI 1497466494
  NPD
• Public Hospital District No 1 of Mason County Wa

  dba Mason General Hospital Mountain View Women's Health

  • Clinic/Center
  • Shelton, WA
  • NPI 1316174774
  NPD
• Salem Health West Valley

  • Critical Access Hospital
  • Dallas, OR
  • NPI 1245237486
  NPD (past)
• Salem Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Salem, OR
  • NPI 1649221813
  NPD (past)
• West Valley Hospital Pharmacy

  • Community/Retail Pharmacy
  • Dallas, OR
  • NPI 1871829796
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1740217389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084008",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ADAMS AVE",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983569323",
            "telephone_number": "360-496-5112",
            "fax_number": "360-496-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6464 SW Borland Rd",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970628876",
            "country_code": "US",
            "telephone_number": "971-404-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TODD",
        "middle_name": "GORDON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "098006952CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60786034",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "098006952RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00073075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105898",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin W. McCurry, M.D.
• Medical Vision Center, LTD
• Jennifer Montoure, ARNP, FNP-C
• Morton Chiropractic Center PLLC
• Morton School District
• New Era Denture Service
• Dianna Padgett
• Garrett Parker Peresko
• Jenifer Preston, DVM
• Pro Plus Physical Therapy

• Certified Registered Nurse Anesthetist in Morton, WA
• Providers in Morton, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.