Monica Nelson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30003764 Issued in WA

Legal business name

MONICA NELSON

Practice address

22813 43Rd Ave S
Kent, WA 98032-2000

Phone

(206) 948-5899

Fax

(253) 759-3075

NPI assigned

Jan 24, 2008

Organization subpart

Yes

Parent organization

MONICA NELSONAs reported in NPPES

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

Authorized official

Name

Kathy A Ostrander

Title

Office Manager

Phone

(253) 759-3065

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Monica M Wilke

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1992982789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22813 43RD AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980328468",
            "telephone_number": "206-948-5899",
            "fax_number": "253-759-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22813 43RD AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322000",
            "telephone_number": "206-948-5899",
            "fax_number": "253-759-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA NELSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONICA NELSON",
        "enumeration_date": "2008-01-24",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-759-3065"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9643776",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Kent, WA
• Providers in Kent, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.