Janice D Nelson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

UTAH PSYCHOLOGY 207 Issued in UT

Practice address

2319 Foothill Dr
Ste. 275
Salt Lake City, UT 84109-1489

Phone

(801) 466-8123

NPI assigned

Sep 27, 2006

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

Other names 1

• Janice D Nelson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942391925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58264",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841580264",
            "telephone_number": "801-466-8123",
            "fax_number": "801-466-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 FOOTHILL DR",
            "address_2": "STE. 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091489",
            "telephone_number": "801-466-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JANICE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "UTAH PSYCHOLOGY 207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "NELSON",
            "middle_name": "D",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gary Rex Nelson, M.D.
• George Nelson III
• Gregory G Nelson
• Holly Nelson
• Jake Nelson
• Jayson Robert Nelson
• Jennifer Nelson, L.P.C.
• Jennifer Kalasky Nelson, PT, GCS
• Joshua Nelson
• Jostlen Nelson

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.