Active NPI
Kathleen Nelson, ARNP
- Family Nurse Practitioner
- Fontanelle, IA
National Provider Identifier
1932146792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A053391
- Practice address
- 406 5TH St
Fontanelle, IA 50846-8308 - Phone
- (641) 745-4300
- Fax
- (641) 745-2024
- NPI assigned
- Jun 1, 2006
- Last updated
- Jul 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A053391 | IA | Primary |
Addresses
Primary practice location
406 5TH St
Fontanelle, IA 50846-8308
Mailing address
406 5TH St
Fontanelle, IA 50846-8308
Phone (641) 745-4300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3288530 | Medicaid | IA | |
| 34499 | Other | IA | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A053391 | IA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1932146792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 5TH ST",
"city": "FONTANELLE",
"state": "IA",
"postal_code": "508468308",
"telephone_number": "641-745-4300",
"fax_number": "641-745-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 5TH ST",
"city": "FONTANELLE",
"state": "IA",
"postal_code": "508468308",
"telephone_number": "641-745-4300",
"fax_number": "641-745-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KATHLEEN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A053391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3288530",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "34499",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fontanelle, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.