MS. LAUREN WILSON (NPI# 1194095984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194095984 |
| Entity Type | Individual |
| Full Name | MS. LAUREN WILSON |
| Practice Address |
10645 N Tatum Blvd 200-629 Phoenix AZ 85028-3068 |
| Practice Telephone | 4803076790 |
| Mailing Telephone | 4803076790 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275142978 | Lauren Wilson | Registered Nurse | 24 Rainey St, Atoka, TN 38004-7601 | 2020-07-28 |
| 1992331425 | Lauren Tamara Wilson | Student in an Organized Health Care Education/Training Program | 6724 Blanche Dr, Lorton, VA 22079-1319 | 2020-03-16 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1669890679 | Lauren Wilson | Technician | 4425 Portsmouth Blvd, Suite 210e, Chesapeake, VA 23321-2152 | 2014-04-07 |
| 1972847747 | Lauren E Wilson | Pediatrics | 425 University Avenue, Suite 200, Sacramento, CA 95825 | 2012-11-19 |
| 1154692812 | Lauren Wilson | Counselor | 1318 Alviola Ave, Oklahoma City, OK 73110-1402 | 2012-01-25 |
| 1508097460 | Lauren Elizabeth Wilson | Pharmacist | 624 Jefferson St, Kerrville, TX 78028-4506 | 2009-07-27 |
| 1942825781 | Lauren F Wilson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2020-06-08 |
| 1194348342 | Lauren Wilson | Dietitian, Registered | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-05-22 |
| 1730700477 | Lauren Brittany Wilson | Dentist | 4121 Old Collinsville Rd, Swansea, IL 62226-2511 | 2020-05-05 |
| Street Address |
10645 N TATUM BLVD 200-629 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851340970 | Marc N Manger | Nuclear Medicine | 10645 N Tatum Blvd, Suite 200, Pmb 611, Phoenix, AZ 85028-3068 | 2006-05-08 |
| 1881016244 | Jenny Zaiser | Specialist/Technologist, Other | 10645 N Tatum Blvd, Ste 200-629, Phoenix, AZ 85028-3068 | 2014-01-20 |
| 1932445244 | No Boundaries Therapeutic Services, LLC | Physical Therapist | 10645 N Tatum Blvd, Suite 238, Phoenix, AZ 85028-3068 | 2012-12-14 |
| 1811217656 | Erin Plieseis | Specialist/Technologist, Other | 10645 N Tatum Blvd, Suite 200-629, Phoenix, AZ 85028-3068 | 2010-06-03 |
| 1346564333 | Irina Simakova | Specialist/Technologist, Other | 10645 N Tatum Blvd, Suite 200-629, Phoenix, AZ 85028-3068 | 2010-03-18 |
| 1861722233 | Saxon Medical Group, LLC | Specialist/Technologist, Other | 10645 N Tatum Blvd, Suite 200-629, Phoenix, AZ 85028-3068 | 2010-01-07 |
| 1851525935 | Sunbelt Clinics Pllc | Internal Medicine | 10645 N Tatum Blvd, Ste 200-152, Phoenix, AZ 85028-3068 | 2009-05-05 |
| 1992955363 | Daniel Gallegos | Nurse Practitioner | 10645 N Tatum Blvd, 200-152, Phoenix, AZ 85028-3068 | 2008-09-23 |
| 1760664437 | Christian Rainer | Internal Medicine | 10645 N Tatum Blvd, Ste 200-152, Phoenix, AZ 85028-3068 | 2007-12-04 |
| 1528252202 | Nationwide Vision Center, LLC | Technician/Technologist | 10645 N Tatum Blvd, Suite C-100, Phoenix, AZ 85028-3068 | 2007-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740634278 | Lonestar Diagnostics, LLC | Specialist/Technologist, Other | 530 E Mcdowell Rd Ste 107, #510, Phoenix, AZ 85004-1500 | 2016-04-21 |
| 1275801466 | Ryan Yetter | Specialist/Technologist, Other | 3310 E Fremont Rd, Phoenix, AZ 85042-6119 | 2011-12-02 |
| 1366760456 | Neurological Diagnostic Center of Phoenix Inc | Specialist/Technologist, Other | 8616 N 35th Ave, Ste 1a, Phoenix, AZ 85051-3813 | 2010-05-13 |
| 1932434347 | Medical Diagnostic Centers, Inc. | Specialist/Technologist, Other | 16601 N 40th St Ste 129, Phoenix, AZ 85032-3355 | 2009-10-03 |
| 1083868954 | Christopher Nonso Egbunike Jr. | Specialist/Technologist, Other | 2926 W Granada Rd, Phoenix, AZ 85009-2572 | 2008-11-05 |
| 1144419995 | Daniel T. Cocks | Specialist/Technologist, Other | 111 N Dupont Cir, Phoenix, AZ 85034-1803 | 2007-10-17 |
| 1255857017 | Laura Kaseman | Specialist/Technologist, Other | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2017-08-14 |
| 1568835866 | Arizona Health Associates LLC | Specialist/Technologist, Other | 1635 E Myrtle Ave, Suite 400, Phoenix, AZ 85020-5556 | 2015-11-09 |
| 1356727358 | Cynapse, Pllc | Specialist/Technologist, Other | 9225 N 3rd St, Ste 100, Phoenix, AZ 85020-2439 | 2015-08-03 |
| 1164840401 | Eileen Mary Shustak | Specialist/Technologist, Other | 14861 N Cave Creek Rd, Phoenix, AZ 85032-4909 | 2014-04-03 |
| Find all providers in PHOENIX | ||||
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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.