JENNIFER L WILSON (NPI# 1043321748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043321748 |
| Entity Type | Individual |
| Full Name | JENNIFER L WILSON |
| Practice Address |
3050 Harrodsburg Rd Ste 100 Lexington KY 40503-2747 |
| Practice Telephone | 8592776102 |
| Practice Fax Number | 8599770237 |
| Mailing Telephone | 8592776102 |
| Mailing Fax Number | 8599770237 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 41107 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 052858 | GA | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
41107 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 135542874A | 05 | |
| SC | G52858 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
| 1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
| 1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
| 1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
| 1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
| 1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
| 1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
| 1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
| Street Address |
3050 HARRODSBURG RD STE 100 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582561 | Brian S Gillispie | Pediatrics | 3050 Harrodsburg Rd, Ste 100, Lexington, KY 40503-2747 | 2005-07-14 |
| 1639501224 | Kentucky Hand and Physical Therapy Bc LLC | Physical Therapist | 3050 Harrodsburg Rd, Suite 200, Lexington, KY 40503-2894 | 2013-08-06 |
| 1265559272 | Steven Wayne Croley | Psychiatry & Neurology | 3050 Harrodsburg Rd, Suite 203, Lexington, KY 40513-2747 | 2007-03-23 |
| 1467585174 | Kentucky Hand & Physical Therapy, Pllc | Clinic/Center | 3050 Harrodsburg Rd, Suite 204, Lexington, KY 40503-2747 | 2007-03-13 |
| 1821133828 | Rebecca Hsu | Physical Therapist | 3050 Harrodsburg Rd, Suite204, Lexington, KY 40503-2747 | 2007-02-20 |
| 1851445753 | Francis E Thompson | Pharmacist | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2007-01-22 |
| 1063566933 | Professional Pharmacy | Pharmacy | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2007-01-22 |
| 1922152800 | Brenda Edelen | Pharmacist | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2007-01-22 |
| 1952402091 | Pediatric & Adolescent Associates | Pediatrics | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2006-09-25 |
| 1336258920 | Daphne T Hosinski | Pediatrics | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154715159 | Gregory Tracy | Pediatrics | 3050 Harrodsburg Rd Ste 100, Lexington, KY 40503 | 2015-03-27 |
| 1619574969 | Lexington Health Inc | Pediatrics | 811 W Main St Ste 204, Lexington, SC 29072-2500 | 2020-10-08 |
| 1639489651 | Lexmedical, Inc | Pediatrics | 14 Medical Park Dr, Lexington, NC 27292-6768 | 2010-10-08 |
| 1427203454 | Mary Jane Lagrew, M.d., LLC | Pediatrics | 1780 Nicholasville Rd, Suite 203, Lexington, KY 40503-1400 | 2008-11-18 |
| 1952402091 | Pediatric & Adolescent Associates | Pediatrics | 3050 Harrodsburg Rd, Lexington, KY 40503-2747 | 2006-09-25 |
| 1386747251 | Mary Jane Lagrew | Pediatrics | 1780 Nicholasville Rd, Suite203, Lexington, KY 40503-1400 | 2006-09-06 |
| 1861418329 | Lexington County Health Services District, Inc. | Pediatrics | 811 West Main Street, Ste 204, Lexington, SC 29072 | 2006-07-15 |
| 1891712220 | Hatim A Omar | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-15 |
| 1992741714 | Sharon Norman Rodrigue | Pediatrics | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-06-21 |
| 1659323525 | Deborah Delona Stanley | Pediatrics | 496 Southland Dr, Lexington, KY 40503-1827 | 2006-05-17 |
| Find all providers in LEXINGTON | ||||
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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.