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DR. AVERLY H NELSON M.D.
NPI 1144202011
Psychiatry & Neurology - Psychiatry in Medical Lake, WA

Active since November 16, 2005
850 MAPLE STREET, EASTERN STATE HOSPITAL, MEDICAL LAKE, WA 99022(509) 565-4000(509) 565-4705 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Averly H Nelson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AVERLY H NELSON M.D. (NPI 1144202011) is an individual psychiatry provider in Medical Lake, Washington, licensed in Washington (MD00012481) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1144202011
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. AVERLY H NELSONCredential: M.D.
Location Address850 MAPLE STREET, EASTERN STATE HOSPITALMedical Lake, WA 99022-0800
Mailing AddressPo Box 800, Eastern State HospitalMedical Lake, WA 99022-0800 · (509) 565-4000 · Fax (509) 565-4705
Phone(509) 565-4000
Fax(509) 565-4705
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateNovember 2, 2016
✔ NPI 1144202011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD00012481
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
850 MAPLE STREET, Medical Lake, WA 99022
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Other Identifiers 3

Medicare PIN000350707WA
Medicaid1059013WA
Medicare UPINF04224WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DARLENE E. WALSH-MARTIN PHD
Psychologist
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SAMAYA CASSANDRA LOVEGOOD M.D.
Psychiatry & Neurology (Psychiatry)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
CHRISTINA L. ZAMPICH PSYD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. SUZANNE D. PEREGOY D.O.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PATRICIA L. GUNDERSON PHD
Psychologist (Clinical)
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. PIERRE JOHN SOFFE M.D.
Family Medicine
850 MAPLE STREET
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DR. GRANT F. RODKEY DMD
Dentist (General Practice)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000
DAVID W. ELKINS JR. PHD
Psychologist (Clinical)
850 MAPLE STREET, EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022
Spokane County (509) 565-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Averly Nelson's NPI number?

The NPI number for Averly Nelson is 1144202011. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Averly Nelson located?

Averly Nelson practices at 850 Maple Street Eastern State Hospital, Medical Lake, WA 99022. The listed phone number is (509) 565-4000.

What is Averly Nelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Averly Nelson was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.