Active NPI
Ralph David Nelson, AU.D.
- Audiologist
- Spencer, IA
National Provider Identifier
1992805543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00075
- Practice address
- 119 E 5TH St
Spencer, IA 51301-5012 - Phone
- (712) 262-7774
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00075 | IA | Primary |
| Audiologist | 231H00000X | 296A | SD | |
| Audiologist | 231H00000X | 7115 | MN | |
| Hearing Instrument Specialist | 237700000X | 00177 | IA | |
| Hearing Instrument Specialist | 237700000X | 2032 | MN |
Addresses
Primary practice location
119 E 5TH St
Spencer, IA 51301-5012
Mailing address
119 E 5TH St
PO Box 17
Spencer, IA 51301-5012
Phone (712) 262-7774
Other names 1
- Dr. R David Nelson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2032 | MN | MD | Chiropractor |
| 00075 | IA | MD | Occupational Therapist |
| 296A | SD | MD | Audiologist |
| 00177 | IA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health Centers, P.C. | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- Spencer, IA
- NPI 1619051372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1992805543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 E 5TH ST",
"address_2": "PO BOX 17",
"city": "SPENCER",
"state": "IA",
"postal_code": "513015012",
"telephone_number": "712-262-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E 5TH ST",
"city": "SPENCER",
"state": "IA",
"postal_code": "513015012",
"telephone_number": "712-262-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RALPH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "00075",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SD",
"license": "296A",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "7115",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IA",
"license": "00177",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R DAVID",
"last_name": "NELSON",
"prefix": "DR.",
"credential": "AU.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.