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ANDREW JOSEPH NELSON
NPI 1912617473
Clinic/Center - Rehabilitation, Substance Use Disorder in Salt Lake City, UT

Active since November 24, 2022
607 E 200 S, SALT LAKE CITY, UT 84102(801) 430-0954 Get Directions Write a Review

NPPES record last updated: November 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Joseph Nelson NPPES

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

ANDREW JOSEPH NELSON (NPI 1912617473) is an individual rehabilitation, substance use disorder provider in Salt Lake City, Utah, licensed in Utah (11273) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1912617473
Entity TypeIndividualMale
Primary Taxonomy261QR0405X
Provider Legal NameANDREW JOSEPH NELSON
Location Address607 E 200 SSalt Lake City, UT 84102-2110
Mailing Address4981 S 4900 WKearns, UT 84118-6316 · (801) 430-0954
Phone(801) 430-0954
Sole ProprietorYes
Enumeration DateNovember 24, 2022
NPPES CertifiedNovember 24, 2022
✔ NPI 1912617473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in UT · 11273
607 E 200 S, Salt Lake City, UT 84102
Open in Google Maps ↗

Other Identifiers 1

Medicaid0807673823UT

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.

JESENIA SANCHEZ
Counselor
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 363-0203
KRISTIN ALLEN
Student in an Organized Health Care Education/Training Program
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 428-3442
JAMIE NAVARRETE SSW
Social Worker
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 363-0203
MS. JADE JOHNSON
Counselor
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 363-0203
ANDREW AVATI
Counselor
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 363-0203
ODYSSEY HOUSE CORP
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (928) 708-9615
SYLVIA KAY ANDERSON-CONN LCSW
Social Worker (Clinical)
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 363-0203
NICOLE FRANCISCO
Counselor
607 E 200 S
SALT LAKE CITY, UT 84102
Salt Lake County (801) 363-0203

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 Andrew Nelson's NPI number?

The NPI number for Andrew Nelson is 1912617473. It was assigned to this individual provider in the NPPES registry on November 24, 2022.

Where is Andrew Nelson located?

Andrew Nelson practices at 607 E 200 S, Salt Lake City, UT 84102. The listed phone number is (801) 430-0954.

What is Andrew Nelson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Andrew Nelson was last updated on November 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.