Kristin Nelson

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-16-7171 Issued in NC

Practice address

2032 Carl Meares Rd
Fair Bluff, NC 28439

Phone

(407) 373-8577

NPI assigned

Jul 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1831572775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 ANCHORS BEND WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 CARL MEARES RD",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "28439",
            "telephone_number": "407-373-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NC",
            "license": "0-16-7171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klaudia Kowalkowska
• Leonard R Odham Jr DDS PA
• Malarie Catherine McConnell
• James Hubert Meares Jr., RPH
• Morefamilysupportllc
• Leonard Russell Odham Jr., DDS
• Palmetto Personal Care Services Inc
• Rha Health Services NC LLC
• Rha Health Services NC LLC
• Janie Eve Waddell, LPC-A

• Assistant Behavior Analyst in Fair Bluff, NC
• Providers in Fair Bluff, NC by specialty
• Assistant Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.