Individual provider Active NPI

Dena Marie Nelson, CASE MANAGER

  • Case Manager/Care Coordinator
  • Merritt Island, FL
National Provider Identifier
1811443161
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
125 E Merritt Island Cswy # 107-357
Merritt Island, FL 32952-3699
Phone
(321) 355-7701
Fax
(321) 355-7701
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

125 E Merritt Island Cswy # 107-357
Merritt Island, FL 32952-3699

Mailing address

2460 N Courtenay Pkwy
Suite 103
Merritt Island, FL 32953-4101
Phone (877) 404-9995

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contactus@brevardfamilyhomecare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1811443161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N COURTENAY PKWY",
            "address_2": "SUITE 103",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534101",
            "telephone_number": "877-404-9995",
            "fax_number": "877-404-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MERRITT ISLAND CSWY # 107-357",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523699",
            "telephone_number": "321-355-7701",
            "fax_number": "321-355-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DENA MARIE",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@brevardfamilyhomecare.com",
            "affiliation": "N",
            "address_1": "125 E Merritt Island Cswy # 107-357",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329523699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.