MICHELLE ROSS WILSON (NPI# 1174683205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174683205 |
| Entity Type | Individual |
| Full Name | MICHELLE ROSS WILSON |
| Credential | APRN |
| Practice Address |
2601 Kentucky Ave Suite 103 Paducah KY 42003-3817 |
| Mailing Address |
Po Box 7309 Paducah KY 42002-7309 |
| Practice Telephone | 2704154860 |
| Practice Fax Number | 2704154862 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707440834 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
3003898 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100077530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426372 | Michelle Wilson | Dietitian, Registered | 4972 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2070 | 2020-04-25 |
| 1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
| 1639733371 | Michelle Marie Wilson | Occupational Therapist | 540 N State St Apt 2605, Chicago, IL 60654-7236 | 2019-04-29 |
| 1821576257 | Michelle Nicole Barker Wilson | Counselor | 2525 King Louis Dr, Jacksonville, FL 32254-6220 | 2018-07-28 |
| 1679000434 | Michelle Wilson | Physical Therapist | 711 River Rd, Yardley, PA 19067-1965 | 2017-05-11 |
| 1689048043 | Michelle A Wilson | Licensed Practical Nurse | 1289 Warwick St, Uniondale, NY 11553-1324 | 2015-11-23 |
| 1447528286 | Michelle J Wilson | Pharmacist | 1066 Laurel Creek Dr, Chesterton, IN 46304-9607 | 2011-12-07 |
| 1013200633 | Michelle Lynne Wilson | Pharmacist | 138 N 5th St, Steubenville, OH 43952-2128 | 2011-05-16 |
| 1548496557 | Michelle Wilson | Nurse Practitioner | 1901 S. Shady Street, Mountain City, TN 37683 | 2009-06-04 |
| 1598887606 | Michelle Morfin Wilson | Nurse Practitioner | 9500 Euclid Ave # M-14, Cleveland, OH 44195-0001 | 2007-04-06 |
| Street Address |
2601 KENTUCKY AVE SUITE 103 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418473 | Western Kentucky Heart & Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2601 Kentucky Ave, Ste 300, Paducah, KY 42003-3826 | 2005-06-22 |
| 1023520434 | Baptist Healthcare System Inc | Pharmacy | 2601 Kentucky Ave, Medical Park 1, Suite 101, Paducah, KY 42003-3817 | 2017-10-26 |
| 1053857912 | Ashley C Jenks | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2017-01-16 |
| 1922550300 | Shakira N Bell | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2016-11-01 |
| 1447709159 | Kelly Nichols | Nurse Practitioner | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2016-09-23 |
| 1417403049 | Erin Walker Toombs | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2016-09-01 |
| 1255701173 | Kristena R Lea | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2015-10-05 |
| 1891164349 | Blair Brockman | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2015-09-15 |
| 1346624962 | Jasmaine Theobald | Nurse Practitioner | 2601 Kentucky Ave, Suite 103, Paducah, KY 42003-3817 | 2015-07-14 |
| 1407246853 | Kasey Murphy | Nurse Practitioner | 2601 Kentucky Ave, Suite 301, Paducah, KY 42003-3817 | 2015-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
| 1790396331 | Kelley Rachelle Mcgarvey | Nurse Practitioner | 8174 Mall Rd, Florence, KY 41042-1414 | 2020-08-16 |
| 1093339772 | Melony Jill Jaggers | Nurse Practitioner | 9798 Ky-259, Mcdaniels, KY 40152-7127 | 2020-05-29 |
| 1316569270 | Glenn Allen Argento | Nurse Practitioner | 10039 Braxton Dr, Union, KY 41091-7631 | 2020-05-14 |
| 1104455682 | Right Time Clinics, LLC | Nurse Practitioner | 715 Shaker Dr Ste 80, Lexington, KY 40504-3628 | 2020-04-06 |
| 1518517655 | Alternative Health Solutions LLC | Nurse Practitioner | 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 | 2019-09-19 |
| 1598239592 | Christina Leigh Barnett | Nurse Practitioner | 2337 Sir Barton Way, Lexington, KY 40509-2474 | 2019-01-14 |
| 1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
| 1831632355 | Dulce Amor Alcuino Davis | Nurse Practitioner | 1012 Weda Cir, Mayfield, KY 42066-3169 | 2016-12-01 |
| 1992157002 | Markitta A Brown | Nurse Practitioner | 134 Roy Jenkins Dr, Corbin, KY 40701-3913 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
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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.