DREW CARSON WILSON


Address: 4420 Lake Boone Trl, Raleigh, NC 27607-7505
Phone: 9197843100

DREW CARSON WILSON (NPI# 1023016409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023016409
Entity Type Individual
Full Name DREW CARSON WILSON
Credential CRNA
Practice Address 4420 Lake Boone Trl
Raleigh
NC 27607-7505
Mailing Address 3100 Spring Forest Rd Ste 130
Raleigh
NC 27616-2880
Practice Telephone 9197843100
Mailing Telephone (919) 882-0706
Mailing Fax Number 9198739821
Enumeration Date 2005-07-11
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 169108 NC Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 0024166324 VA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered ARNP3273122 FL Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered AP60299893 WA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 650851 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1153 Centre St, Boston, MA 021303446 6179837000

Office Location

Street Address 4420 LAKE BOONE TRL
City RALEIGH
State NC
Zip Code 27607-7505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225035405 Karen Kinney Schneider Nurse Practitioner 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 2005-07-05
1700486685 Cameron Blake Little Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-10-29
1942811278 Whitney Dale Marks Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-08-11
1447869359 Daneille Barbara Hamlin Audiologist 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-07-27
1427675057 Robert Brinson Mitchell IIi Nurse Anesthetist, Certified Registered 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-06-30
1912523457 Driss Zine Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-06-21
1619599081 Kai Kang Pharmacist 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-05-08
1487281671 Allison Tharakan Pharmacist 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-03-26
1598391435 Gerald Shane Taylor Registered Nurse 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-03-22
1982230140 Catherine Parks Chantrill Registered Nurse 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033766670 Apex Anesthesia Inc Nurse Anesthetist, Certified Registered 3031 New Bern Ave Ste 100, Raleigh, NC 27610-2989 2019-08-19
1558820589 Olesea Sandulescu Zotter Nurse Anesthetist, Certified Registered 1212 Prairie Pond Cir, Raleigh, NC 27614-8679 2019-03-19
1295293058 Kalu Ben Iroha Nurse Anesthetist, Certified Registered 6418 Swatner Dr, Raleigh, NC 27612-1963 2019-03-11
1003374877 Brianne Schreiber Nurse Anesthetist, Certified Registered 8502 Pillar Gate Ln, Raleigh, NC 27613-7390 2019-03-11
1427515055 Amelia London Nurse Anesthetist, Certified Registered 5734 Woodcrest Dr, Raleigh, NC 27603-4652 2019-03-01
1285189969 Timothy Heath Lambert Nurse Anesthetist, Certified Registered 700 Bishops Park Dr Unit 308, Raleigh, NC 27605-1250 2016-08-23
1649725516 Joshua Richards Nurse Anesthetist, Certified Registered 3270 Lynn Ridge Dr, Apt 2f, Raleigh, NC 27613-8943 2016-08-22
1861842650 Andrew Rollins Nurse Anesthetist, Certified Registered 3000 New Bern Ave Ste 1130, Raleigh, NC 27610-1245 2016-06-13
1164861118 Rebecca Bolding Thomas Nurse Anesthetist, Certified Registered 5208 Mallard Grove Dr, Raleigh, NC 27616-6147 2013-06-21
1528404704 Brennan Victor Russell Nurse Anesthetist, Certified Registered 300 New Bern Ave, Raleigh, NC 27610-1111 2013-05-15
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City RALEIGH
Zip Code 27607

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Dataset Information

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.

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