Individual provider Active NPI

Ralph David Nelson, AU.D.

  • Audiologist
  • Spencer, IA
National Provider Identifier
1992805543
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00075 Issued in IA
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

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
2032MNMDChiropractor
00075IAMDOccupational Therapist
296ASDMDAudiologist
00177IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.