FATIMA WILDS (NPI# 1053774323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053774323 |
| Entity Type | Individual |
| Full Name | FATIMA WILDS |
| Credential | LPN |
| Practice Address |
8643 Bodkin Ct Charlotte NC 28215-7358 |
| Practice Telephone | 3362256912 |
| Mailing Telephone | 3362256912 |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 81405 | NC | Nursing Service Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1053774323 | 05 |
| Street Address |
8643 BODKIN CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-7358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889890 | Monica Ann Salazar | Licensed Practical Nurse | 142 S Yule Ave # 303, Charlotte, TX 78011-3484 | 2020-07-23 |
| 1871156174 | Victoria Ward | Licensed Practical Nurse | 8801 J M Keynes Dr Ste 230, Charlotte, NC 28262-5514 | 2019-04-22 |
| 1427519867 | Joyce A Craven | Licensed Practical Nurse | 508 Hughes, Charlotte, MI 48813-8433 | 2019-03-28 |
| 1992165310 | Yvonne Evins Saunders | Licensed Practical Nurse | 5227 Eagle Creek Dr, Charlotte, NC 28269-1575 | 2016-02-26 |
| 1316314339 | Bernice Colegrove | Licensed Practical Nurse | 1032 N Stewart Rd, Charlotte, MI 48813-9355 | 2015-08-25 |
| 1023496627 | Shellyann Kornegay-brooks | Licensed Practical Nurse | 2512 Dunlavin Way, Charlotte, NC 28205-3588 | 2015-05-14 |
| 1033502927 | Tiwana Stampley | Licensed Practical Nurse | 5103 Milhaven Ln, Charlotte, NC 28269-2719 | 2015-03-17 |
| 1275825218 | Yolanda A Lawrence | Licensed Practical Nurse | 11817 Cheviott Hill Ln, Charlotte, NC 28213-3899 | 2011-05-10 |
| 1386976108 | Stephanie Denise Smith | Licensed Practical Nurse | 14117 Laurel Trace Dr, Charlotte, NC 28273-5699 | 2010-02-03 |
| 1043451974 | Rosa Anna Dileo | Licensed Practical Nurse | 7906 Lawyers Rd, Charlotte, NC 28227-4955 | 2009-03-24 |
| Find all providers in CHARLOTTE | ||||
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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.