Angela Kay Nelson

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN60675511 Issued in WA

Practice address

20508 56TH Ave W
Lynnwood, WA 98036-7650

Phone

(425) 678-1390

NPI assigned

Feb 24, 2025

Sex

Female

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Recovery Centers-Health Services

  • Primary Care Nurse Practitioner
  • Lynwood, WA
  • NPI 1275297384
  NPD
• Evergreen Recovery Centers-Lynnwood Detox

  • Substance Abuse Rehabilitation Facility
  • Lynnwood, WA
  • NPI 1588184980
  NPD (past)

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1871399386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15404 218TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729162",
            "telephone_number": "425-879-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367650",
            "telephone_number": "425-678-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "RN60675511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Katherine Nason, MD
• Jennifer Kristen Nathans, ARNP
• National Vision, Inc.
• Debbie Jocelin Nava-Munoz
• Valarie Denise Ndifon, LPN
• Aspen Nelson
• Carrie Sarah Nelson, LMP
• Hsiang-Yun Nelson
• Mackenzie Nelson
• Nathan Lawrence Nelson, LMHC

• Addiction (Substance Use Disorder) Registered Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.