DR. CLINT REID NELSON M.D. NPI 1629221981

NPI Information

  • NPI: 1629221981
  • Provider Name: DR. CLINT REID NELSON, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84132
  • Phone: (801) 581-2121

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NPI Details

DR. Clint Reid Nelson, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Salt Lake City, UT with 19 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Clint Reid Nelson, M.D. NPI is 1629221981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

50 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2121

The NPI 1629221981 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 10/30/2008 and was last updated on 11/30/2021.

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
1208000000XPediatrics7148526-1205UTAHNo
22084N0400XPsychiatry & NeurologyNeurology7148526-1205UTAHNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology7148526-1205UTAHYes

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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