Sierra Jyl Nelson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24981 Issued in OR

Practice address

15480 SE 82ND Dr Ste B
Clackamas, OR 97015-9633

Phone

(971) 235-5561

Fax

(971) 386-1281

NPI assigned

Feb 7, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1942954193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15450 SE 93RD AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159602",
            "telephone_number": "971-235-5561",
            "fax_number": "971-386-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 SE 82ND DR STE B",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159633",
            "telephone_number": "971-235-5561",
            "fax_number": "971-386-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SIERRA",
        "middle_name": "JYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "secure online SOAP notes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15480 SE 82nd Dr Ste B",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970159633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam A Nelson, PHD
• Christopher Paul Nelson, M.D.
• J. Mauer Nelson, M.D.
• Jade Nelson, LMT
• Sandra Charlene Nelson, RDH
• Nelson'S Interior
• Jennifer Elaine Netzlof, R.D.
• Neurotherapeutic Pediatric Therapies Inc
• Malina Oana Neville, MD
• New Health Chiropractic

• Massage Therapist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.