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

NPI Status: Active since November 16, 2005

Contact Information

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022
Phone: (509) 565-4000
Fax: (509) 565-4705

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry

About AVERLY NELSON

This page provides the complete NPI Profile along with additional information for Averly Nelson, a provider established in Medical Lake, Washington with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1144202011 assigned on November 2005. The practitioner's primary taxonomy code is 2084P0800X with license number MD00012481 (WA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1144202011
Provider Name
DR. AVERLY H NELSON M.D.
Gender
Male
Entity Type
Individual
Location Address
850 MAPLE STREET EASTERN STATE HOSPITAL MEDICAL LAKE, WA 99022
Location Phone
(509) 565-4000
Location Fax
(509) 565-4705
Mailing Address
PO BOX 800 EASTERN STATE HOSPITAL MEDICAL LAKE, WA 99022
Mailing Phone
(509) 565-4000
Mailing Fax
(509) 565-4705
Is Sole Proprietor?
No
Enumeration Date
11-16-2005
Last Update Date
11-02-2016
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A psychiatrist like Averly Nelson are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
MD00012481
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000350707MEDICARE PIN (08)WA 
1059013MEDICAID (05)WA 
F04224MEDICARE UPIN (02)WA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144202011
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218440402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 0 + 4 + 0 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1144202011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. LESLEY M. BLAKE MD

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 299-3121

JENNIFER MITCHELL PHARM.D.

Pharmacist

850 MAPLE STREET
ATTN: PHARMACY
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4348

MR. MARK P. DARTLEY PA-C

Physician Assistant

(Medical)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. PATRICIA L. GUNDERSON PHD

Psychologist

(Clinical)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. PIERRE JOHN SOFFE M.D.

Family Medicine

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

CHRISTINA L. ZAMPICH PSYD

Psychologist

(Clinical)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. LAWRENCE MOORER MARTIN M.D.

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. FERESHTEH MOMENI M.D.

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. DEBORAH CATHERINE MILLER M.D.

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

THOMAS A. CRISP JR. D.O.

Family Medicine

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

MRS. PATRICIA LYNN DYKSTRA ARNP

Nurse Practitioner

(Family)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

ULISTA HOOVER M.D.

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. GREGORY J. BAHDER M.D.

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. LAWRENCE R. LAWTON D.D.S.

Dentist

(General Practice)

850 MAPLE STREET
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

KIMBERLY S. LINDELL PA

Physician Assistant

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. ERIC D. DANT M.D.

Family Medicine

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. GRANT F. RODKEY DMD

Dentist

(General Practice)

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DAVID W. ELKINS JR. PHD

Psychologist

(Clinical)

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. BARRY R CAPAROSO M.D.

Family Medicine

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

DR. JOHN R HENRY D.O.

Psychiatry & Neurology

(Psychiatry)

850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA
ZIP 99022

(509) 565-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144202011, enumerated as an "individual" on November 16, 2005.

The provider is located at 850 MAPLE STREET EASTERN STATE HOSPITAL MEDICAL LAKE, WA 99022 and the phone number is (509) 565-4000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.