SEAN WILSON (NPI# 1073147302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073147302 |
| Entity Type | Individual |
| Full Name | SEAN WILSON |
| Practice Address |
2130 Pinehurst Ave Charleston SC 29414-6455 |
| Mailing Address |
479 Blue Dragonfly Dr Charleston SC 29414-9124 |
| Practice Telephone | 8437631538 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
249922 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023545720 | Sean Wilson | Counselor | 1221 E Dyer Rd St. 220, Santa Ana, CA 92705 | 2017-05-12 |
| 1568777332 | Sean A Wilson | Counselor | 53 Garden St, Haverhill, MA 01830-3944 | 2010-08-17 |
| 1952921496 | Sean Austin Wilson | Student in an Organized Health Care Education/Training Program | 7501 Riverside Pkwy, Tulsa, OK 74136-5056 | 2020-04-24 |
| 1568994846 | Sean Mcferran Wilson | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-03-28 |
| 1770933665 | Sean Wilson | Emergency Medicine | 100 Fairview Dr, Franklin, VA 23851-1238 | 2016-06-21 |
| 1528320231 | Sean P Wilson | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-10 |
| 1386946747 | Sean Michael Wilson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2010-11-17 |
| 1346564788 | Sean Miller Wilson | Student in an Organized Health Care Education/Training Program | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2010-03-14 |
| 1477886182 | Sean William Wilson | Radiology | 1959 Ne Pacific St, Rr215 Uw Box 357115, Seattle, WA 98195-0001 | 2009-09-13 |
| 1760637367 | Sean Ronald Wilson | Specialist/Technologist | 160 Pedro Way, Winchester, KY 40391 | 2008-11-24 |
| Street Address |
2130 PINEHURST AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245664 | Maegan Simmons | Registered Nurse | 2130 Pinehurst Ave, Charleston, SC 29414-6455 | 2018-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245664 | Maegan Simmons | Registered Nurse | 2130 Pinehurst Ave, Charleston, SC 29414-6455 | 2018-08-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1801229406 | Joanne Hendricks Root | Registered Nurse | 1825 Camp Rd, Charleston, SC 29412-3504 | 2013-08-19 |
| 1598102170 | Hope Gable Grimmett | Registered Nurse | 1872 S Grimball Rd, Charleston, SC 29412-8013 | 2013-05-23 |
| 1609212828 | Sharon Elaine Moser | Registered Nurse | 4060 Wildcat Blvd, Charleston, SC 29414-5851 | 2013-05-14 |
| 1831535111 | Rosanne W Pate | Registered Nurse | 1000 Fort Johnson Rd, Charleston, SC 29412-8810 | 2013-05-14 |
| 1205271814 | Alicia Myers | Registered Nurse | 505b Arlington Dr, Charleston, SC 29414-5006 | 2013-05-09 |
| 1922443639 | Jill M Burgin | Registered Nurse | 883 Mikell Dr, Charleston, SC 29412-5042 | 2013-05-08 |
| 1851736649 | Alethia Pamela Brown | Registered Nurse | 640 Butte St, Charleston, SC 29414-5207 | 2013-05-07 |
| 1679918593 | Lidie Dorn Collier | Registered Nurse | 2 Perry St, Charleston, SC 29403-4739 | 2013-05-06 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on SEAN WILSON.
| 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.