Jody Lynn Nielsen, MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

ME 68416 Issued in FL

Practice address

1925 S Highway 97
Cantonment, FL 32533-9779

Phone

(850) 982-0622

Fax

(850) 937-0717

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1972931954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 S HIGHWAY 97",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325339779",
            "telephone_number": "850-982-0622",
            "fax_number": "850-937-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 S HIGHWAY 97",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325339779",
            "telephone_number": "850-982-0622",
            "fax_number": "850-937-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "JODY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "FL",
            "license": "ME 68416",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TX",
            "license": "H2644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Myers
• Carmen Vara Napier, BCBA
• Anne A Necaise, RDN, IBCLC
• Susan Nesbitt
• Trung Quoc Nguyen, PHARMD
• Stephanie Niemeyer, RBT
• Laura Leanne O'Brien, M.A.
• Brittany Shyanne Odom
• Ohana Therapy Clinic
• Eratina E Opel

• Forensic Pathology Physician in Cantonment, FL
• Providers in Cantonment, FL by specialty
• Forensic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.