Provider Demographics
NPI:1891241980
Name:NELSON, DAWNA PITTS (SLP)
Entity Type:Individual
Prefix:
First Name:DAWNA
Middle Name:PITTS
Last Name:NELSON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:DAWNA
Other - Middle Name:GAIL ELIZABETH
Other - Last Name:PITTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4261 N 142ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-5036
Mailing Address - Country:US
Mailing Address - Phone:402-505-6236
Mailing Address - Fax:
Practice Address - Street 1:4261 N 142ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-5036
Practice Address - Country:US
Practice Address - Phone:402-505-6236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist