MS. ANGEL LEE WILSON (NPI# 1164430658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164430658 |
| Entity Type | Individual |
| Full Name | MS. ANGEL LEE WILSON |
| Credential | ARNP |
| Practice Address |
Bia #1 Soldier Creek Rd Rosebud SD 57570 |
| Mailing Address |
Po Box 1111 Rosebud SD 57570 |
| Practice Telephone | 6057472231 |
| Practice Fax Number | 6057472216 |
| Mailing Telephone | 6057475555 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R024323 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861963035 | Angel Wilson | Licensed Practical Nurse | 3440 Skipper St, Lake Charles, LA 70607-7599 | 2018-12-16 |
| 1396224010 | Angel Wilson | Counselor | 335 E Wood St Ste B, Decatur, IL 62523-1431 | 2018-08-13 |
| 1437493996 | Angel Marie Wilson | Occupational Therapist | 345 E Mulberry St, Lancaster, OH 43130-3166 | 2012-11-21 |
| 1659524668 | Angel Wilson | Social Worker | 5325 Greenwood Ave, Suite 201, West Palm Beach, FL 33407-2452 | 2008-11-04 |
| 1275781544 | Angel Ann-walker Wilson | Internal Medicine | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2008-08-28 |
| Street Address |
BIA #1 SOLDIER CREEK RD |
| City | ROSEBUD |
| State | SD |
| Zip Code | 57570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
| 1184141400 | Guardian Flight LLC | Ambulance | 1506 Airport Road, Rosebud, SD 57570 | 2017-08-28 |
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
| 1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
| 1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
| 1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
| 1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
| 1063602365 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Private Vehicle | #7 Hospital Lane, Rosebud, SD 57570 | 2007-08-01 |
| 1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
| Find all providers in zip 57570 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881249142 | Anne Margaret Cowles | Nurse Practitioner | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2019-08-05 |
| 1699329243 | Kara Elizabeth Sprangers | Nurse Practitioner | 400 Soldier Creek Rd, Rosebud, SD 57570 | 2019-07-31 |
| 1366517385 | Criselle Smith | Nurse Practitioner | 400 Soldier Creek Dr, Rosebud, SD 57570-8502 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000333 | Michelle Marie Mehrer | Nurse Practitioner | 307 St Joe St, Rapid City, SD 57701-2828 | 2020-07-21 |
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1972139095 | Amanda Wortman | Nurse Practitioner | 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2020-03-20 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1760040190 | Anna Gagliano | Nurse Practitioner | 1324 Panorama Cir, Rapid City, SD 57701-9221 | 2019-05-31 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1457827834 | Katlyn Elizabeth Rostyne | Nurse Practitioner | 302 S Dumont Ave, Woonsocket, SD 57385 | 2018-10-23 |
| 1417422031 | Anna Bruce | Nurse Practitioner | 741 Mt View Rd, Rapid City, SD 57702-2540 | 2018-10-10 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. ANGEL LEE 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.