THAO T NELSON PA-C NPI 1093084931

NPI Information

  • NPI: 1093084931
  • Provider Name: THAO T NELSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3280 E LANARK DR
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 895-8670

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NPI Details

Thao T Nelson, PA-C is a medical physician assistant in Meridian, ID. Thao T Nelson, PA-C NPI is 1093084931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3280 E LANARK DR
MERIDIAN, ID
ZIP 83642-982
Phone: (208) 895-8670

The NPI 1093084931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2011 and was last updated on 7/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA-1385IDAHOYes
2363AM0700XPhysician AssistantMedicalOA003740PENNSYLVANIANo
3363AM0700XPhysician AssistantMedicalPA60650168WASHINGTONNo
4363AM0700XPhysician AssistantMedical016558NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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