Kimberly Diane Nelson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2274752 Issued in MA

Practice address

35 Congress St Ste 225
Salem, MA 01970-5529

Phone

(978) 542-1951

Fax

(978) 542-1954

NPI assigned

Aug 13, 2019

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MA

  Medicare reassignment NPD
• Alliance Lifetime Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Andover, MA
  • NPI 1568196830
  NPD
• River Valley Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holyoke, MA
  • NPI 1851444616
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1962058362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DRAKE WAY UNIT 6",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608404",
            "telephone_number": "904-576-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CONGRESS ST STE 225",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705529",
            "telephone_number": "978-542-1951",
            "fax_number": "978-542-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2274752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Nathan, RN
• Deborah Nathan, LMHC, ATR
• Courtney Neff, MD
• Jessica Neffinger
• Romy Nehme, M.D.
• Robert R Nersasian, DMD
• Neuronorwell Inc.
• Peter K Newman, PA-C
• Jahvon Amieke Newton
• Julie Nguyen

• Psychiatric/Mental Health Nurse Practitioner in Salem, MA
• Providers in Salem, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.