Friday Albert Nelson II, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

201700198RN Issued in OR

Practice address

1016 Court St
Medford, OR 97501-5728

Phone

(541) 622-8020

Fax

(541) 622-8023

NPI assigned

Jul 11, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1760229272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 COURT ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015728",
            "telephone_number": "541-622-8020",
            "fax_number": "541-622-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 COURT ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015728",
            "telephone_number": "541-622-8020",
            "fax_number": "541-622-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "FRIDAY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "201700198RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nelli, D.O.
• Ruth Nelson-Moore, QMHP
• Ashley Elizabeth Nelson, PMHNP-BC
• Courtney Noel Nelson, PA-C
• Deenena Nelson
• Michael Nelson, PT, DPT
• Sherry Nelson, ANP
• Stacey Nelson, RN
• Stephen Lanier Nelson, MD
• William R Nemzek, M.D.

• Case Management Registered Nurse in Medford, OR
• Providers in Medford, OR by specialty
• Case Management Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.