Kelly Lynn Nelson, B.S

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1385-127 Issued in WI

Practice address

1407 Saint Andrew St
La Crosse, WI 54603-3301

Phone

(608) 785-5846

NPI assigned

Apr 14, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Lacrosse County Care Management Organization

  • Case Management Registered Nurse
  • La Crosse, WI
  • NPI 1518181080
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1881868693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 EASTWOOD ST",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369445",
            "telephone_number": "608-797-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 SAINT ANDREW ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546033301",
            "telephone_number": "608-785-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "1385-127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas R Nelson, MD
• Evan R Nelson, MD
• Gabriela Nelson
• Jeremy Nelson
• Julia Anne Nelson
• Kimberly Ann Nelson, RN
• Kristi L Nelson, L.P.C.
• Martin J Nelson, MD
• Mary E Nelson, MD
• Peter J Nelson, MD

• Case Manager/Care Coordinator in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.