LORETTA WILSON (NPI# 1003421819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003421819 |
| Entity Type | Individual |
| Full Name | LORETTA WILSON |
| Credential | CDCA, PEER SUPPORT |
| Practice Address |
3018 E 128th St Cleveland OH 44120-3003 |
| Practice Telephone | 2162568500 |
| Mailing Telephone | 2162568500 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 1005 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780952580 | Loretta Eve Wilson | Nurse Practitioner | 700 Olympic Plaza Cir Ste 904, Tyler, TX 75701-1958 | 2011-12-07 |
| 1588917371 | Loretta J Wilson | Nurse Practitioner | 70 N Sturmer St, Belington, WV 26250 | 2012-10-18 |
| 1881968220 | Loretta L Wilson | Pharmacist | 3800 N Central Expy, Plano, TX 75074-2221 | 2012-03-02 |
| 1467750083 | Loretta Katherine Wilson | Clinical Nurse Specialist | 52 Dore St, San Francisco, CA 94103-3828 | 2011-03-06 |
| 1407002603 | Loretta Sue Wilson | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2008-08-07 |
| 1861450983 | Loretta K Wilson | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-05-01 |
| Street Address |
3018 E 128TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44120-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1538774153 | Sarah Louise Woodside | Peer Specialist | 4478 S Hills Dr, Cleveland, OH 44109-4479 | 2020-09-10 |
| 1558975128 | Jessica Ann Bair | Peer Specialist | 4606 Gifford Ave, Cleveland, OH 44144-2944 | 2020-09-01 |
| 1407460280 | Shiyla Ann Nix | Peer Specialist | 2230 E 82nd St, Cleveland, OH 44103-5008 | 2020-08-31 |
| 1538772611 | Ross Hilaszek | Peer Specialist | 2001 Willowdale Ave, Cleveland, OH 44109-2838 | 2020-08-28 |
| 1760008254 | Sober First, LLC | Peer Specialist | 4415 Euclid Ave Ste 204, Cleveland, OH 44103-3758 | 2020-06-19 |
| 1902428642 | Nancy Joseph | Peer Specialist | 3515 W 146th St, Cleveland, OH 44111-6102 | 2020-05-15 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.