Active NPI
Charon K Nelson, MSN, CNS
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Colorado Springs, CO
National Provider Identifier
1992755466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- APN.0000589-CNS
- Practice address
- 2864 S Circle Drive
Ste 600
Colorado Springs, CO 80906 - Phone
- (719) 314-4260
- Fax
- (719) 264-6616
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 71846 | CO | |
| Clinical Nurse Specialist | 364S00000X | 589 | CO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 71846 | CO | |
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | APN.0000589-CNS | CO | Primary |
Addresses
Primary practice location
2864 S Circle Drive
Ste 600
Colorado Springs, CO 80906
Mailing address
220 Ruskin Drive
Colorado Springs, CO 80910
Phone (719) 572-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57082367 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71846 | CO | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1992755466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RUSKIN DRIVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80910",
"telephone_number": "719-572-6100",
"fax_number": "719-572-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2864 S CIRCLE DRIVE",
"address_2": "STE 600",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80906",
"telephone_number": "719-314-4260",
"fax_number": "719-264-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHARON",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "MSN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CO",
"license": "71846",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CO",
"license": "589",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "71846",
"primary": false
},
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "CO",
"license": "APN.0000589-CNS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57082367",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.