AVERLY H. NELSON M.D. – NPI #1144202011
Psychiatry & Neurology

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.

AVERLY NELSON is a psychiatry & neurologist located in MEDICAL LAKE, WA. NPPES has assigned the NPI number 1144202011 to AVERLY NELSON on November 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 10 years ago on Nov 02, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERLY NELSON below.

NPI Profile for
AVERLY H. NELSON

NPI Number
1144202011
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
AVERLY H. NELSON
Credentials
M.D.
Primary location
850 MAPLE STREET
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022-0800
Phone: (509) 565-4000 Fax: (509) 565-4705
Mailing address
PO BOX 800
EASTERN STATE HOSPITAL
MEDICAL LAKE, WA 99022-0800
Phone: (509) 565-4000 Fax: (509) 565-4705
Sole Proprietor
No
Updated
Identifiers

Identifiers for AVERLY NELSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA1059013
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
WA MD00012481

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.