Stacy Smith Nelson

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1509 Haviland Cir
Columbia, SC 29210-4051

Phone

(518) 491-0012

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1780476754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290630366",
            "telephone_number": "518-491-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HAVILAND CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104051",
            "telephone_number": "518-491-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STACY",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Nelson, FNP
• Elvira Theresa Nelson, CERT. HAIR LOSS SPEC
• Ithamesia Nelson, NURSE PRACTITIONER
• Kenna Nelson, RBT
• Lauren Nelson, ED.S, LPES, LPCA
• Tiquana D Nelson
• Michael David Nemastil, DC
• Manoj Kumar Nepal, M.D.
• Jan Eric Nerud, CADC-I
• Porsha Nesbitt

• All providers in Columbia, SC
• Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.