Mitchell Evan Nelson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

800 16TH Ave SE
Minot, ND 58701-6781

Phone

(701) 852-1399

Fax

(701) 838-0613

NPI assigned

Aug 16, 2022

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1952029043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FALCON CREST DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 16TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016781",
            "telephone_number": "701-852-1399",
            "fax_number": "701-838-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MITCHELL",
        "middle_name": "EVAN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn J. Nelson, OD
• Jana Nelson
• Jennifer N Nelson, P.T.
• John G Nelson, MD
• Katlyn B Nelson
• Shawn P Nelson, OD
• Sherri Ann Nelson, LSW
• Teal Nelson, LAC
• Barbara Ann Nesheim, ATC/PTA
• Taylor Neshem, PT, DPT

• Speech-Language Pathologist in Minot, ND
• Providers in Minot, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.