Wanda Jean Nelson, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30005582 Issued in WA

Practice address

133 S College Ave
Suite 101
College Place, WA 99324-1193

Phone

(509) 527-2425

NPI assigned

May 4, 2007

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: wnelson1002034@wm.providencedirect.org

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.

• Providence Health & Services - Washington

  dba Providence St Mary Medical Center

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  NPD (past)
• Walla Walla General Hospital

  dba Adventist Health Medical Group Prosser Clinic

  • Multi-Specialty Clinic/Center
  • Prosser, WA
  • NPI 1376894048
  NPD (past)
• Wwu Campus Health & Wellness

  • Student Health Clinic/Center
  • College Place, WA
  • NPI 1629048848
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1801008743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S. COLLEGE AVE",
            "address_2": "SUITE 101",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "99324",
            "telephone_number": "509-527-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S COLLEGE AVE",
            "address_2": "SUITE 101",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241193",
            "telephone_number": "509-527-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 S College Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "College Place",
            "state": "WA",
            "postal_code": "993241151",
            "country_code": "US",
            "telephone_number": "509-897-3690",
            "fax_number": "509-525-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "WANDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wnelson1002034@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "295 S College Ave Ste 1",
            "city": "College Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993241151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in College Place, WA
• Providers in College Place, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.