Richard Nelson Jr.

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

6239 Edgewater Dr Ste 2
Orlando, FL 32810-4736

Phone

(407) 948-5689

NPI assigned

Feb 6, 2018

Last updated

Jun 16, 2018By 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 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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1750880670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 CAVAN DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038344",
            "telephone_number": "407-948-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 EDGEWATER DR STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328104736",
            "telephone_number": "407-948-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RICHARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Nelson
• Michael Jay Nelson, ATHLETIC TRAINER
• Mirlande Nelson, COSMETOLOGIST
• Nataya M. Nelson, CRNA
• Nicholas Nelson
• Ronay M Nelson
• Tamara Nelson, M.A.
• Tameko Derita Nelson
• Tiffany A Nelson
• Venus Nelson, RN

• Driver in Orlando, FL
• Providers in Orlando, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.