MISS SHYEASHA WILSON


Address: 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746
Phone: 8646213077

MISS SHYEASHA WILSON (NPI# 1073167185) 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) 1073167185
Entity Type Individual
Full Name MISS SHYEASHA WILSON
Other Name SHY WILSON
Credential APRN-BC, PMHNP-BC
Practice Address 1460 Oakcrest Dr Apt 2120
Columbia
SC 29223-1746
Practice Telephone 8646213077
Mailing Telephone 8646213077
Enumeration Date 2019-07-26
Last Update Date 2020-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
104416 SC Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
23783 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1911 Gadsden St Ste 204, Columbia, SC 292016400 8032549767

Office Location

Street Address 1460 OAKCREST DR APT 2120
City COLUMBIA
State SC
Zip Code 29223-1746

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NPI Name Taxonomy Address Enumeration
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1750824819 Marquita Heyward Counselor 1 Winsor Cove Suite 303, Columbia, SC 29223 2016-11-22
1578015509 Carolina Family Pharmacy, LLC Pharmacy 9153 Two Notch Road, Columbia, SC 29223 2016-10-25
1225485170 Lisa Diaz Occupational Therapy Assistant 7601 Parlane Rd, Columbia, SC 29223 2016-05-20
1295199859 Sarah Ann Riley Nurse Practitioner Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 2016-04-11
1134583214 Sara Alisha Pound Behavioral Analyst 97b Winterberry Ln, Columbia, SC 29223 2016-04-05
1508227653 Lucy Elvira Vicioso-harris Counselor 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 2016-03-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906879 Claudine Njob Nurse Practitioner 5500 Knoll North Dr Ste 220, Columbia, MD 21045-2362 2020-09-15
1366081887 Mavis Kisseadoo Nurse Practitioner 10208 Hickory Ridge Rd Apt 302, Columbia, MD 21044-4688 2020-01-01
1942768528 American Psychiatric Care LLC Nurse Practitioner 8895 Centre Park Dr Ste E2, Columbia, MD 21045-1966 2019-03-04
1700341948 Anu John Nurse Practitioner G. Werber Bryan Psychiatric Hospital, 220 Faison Drive, Columbia, SC 29203 2019-02-01
1457838633 Lisa Eunjoo Sohn Nurse Practitioner 6310 Stevens Forest Rd Ste 100, Columbia, MD 21046-3208 2018-07-20
1558864157 Yetunde Olaleye Nurse Practitioner 7067 Columbia Gateway Dr Ste 108, Columbia, MD 21046-3407 2018-03-10
1538667431 Truhope.3 LLC Nurse Practitioner 10440 Little Patuxent Pkwy Ste 300, Columbia, MD 21044-3648 2018-01-25
1174038590 Elizabeth Jane Eggebrecht Nurse Practitioner 2715 Colonial Dr Ste 100, Columbia, SC 29203-6818 2017-12-07
1639540420 Stacy S Mallare Nurse Practitioner 10954 Hilltop Ln, Columbia, MD 21044-3780 2015-10-19
1790097913 Ana C Duarte Nurse Practitioner 10632 Little Patuxent Pkwy Ste 410, Columbia, MD 21044-3252 2010-07-02
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Competitor

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City COLUMBIA
Zip Code 29223

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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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