Matthew Alex Nelson, LMT, CMA, MFA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-2851 Issued in ID

Practice address

760 E Warm Springs Ave
Ste Z
Boise, ID 83712-6476

Phone

(208) 985-0331

NPI assigned

Jan 16, 2017

Last updated

Jan 16, 2017By 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

Certified Medical Assistant, Master of Fine Arts

State licenses

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1801332788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 W MENLO DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020322",
            "telephone_number": "208-985-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 E WARM SPRINGS AVE",
            "address_2": "STE Z",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126476",
            "telephone_number": "208-985-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MATTHEW",
        "middle_name": "ALEX",
        "credential": "LMT, CMA, MFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Nelson, PA-C
• Justin Michael Nelson
• Kinsey Elora Nelson, LPC
• Kristi Nelson, MA
• Lisa M Nelson, M.D.
• Matthew Jacob Nelson, MD
• Matthew Ryan Nelson, MD
• Meaghan Elizabeth Nelson, PA
• Meghan Nelson, LCSW
• Ryan Richard Nelson

• Massage Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.