ELIZABETH J WILEY (NPI# 1194797712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194797712 |
| Entity Type | Individual |
| Full Name | ELIZABETH J WILEY |
| Credential | FNP |
| Practice Address |
4101 Wesley St Ste C Greenville TX 75401-5635 |
| Practice Telephone | 9034548111 |
| Practice Fax Number | 9034541680 |
| Mailing Telephone | 9034548111 |
| Mailing Fax Number | 9034541680 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
660449 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 177443204 | 05 | |
| TX | RAILROAD MEDICARE | P00315230 | 01 |
| TX | BCBS OF TEXAS | 8N9409 | 01 |
| TX | 177443201 | 05 | |
| TX | 177443202 | 05 | |
| TX | 177443203 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386857084 | Elizabeth Alexandra Wiley | Social Worker | 1615 E Cypress Ln, Fayetteville, AR 72703-3082 | 2007-05-08 |
| 1467895631 | Elizabeth Ann Wiley | Family Medicine | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2013-04-08 |
| 1740582121 | Elizabeth Ann Wiley | Genetic Counselor, MS | 55 Lake Ave N, Rm. S1-710, Worcester, MA 01655-0002 | 2010-11-17 |
| 1164656476 | Elizabeth Wiley | Social Worker | 458 Madison Rd, Orange, VA 22960-1085 | 2009-05-14 |
| 1760664593 | Elizabeth Stirling Wiley | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2007-12-04 |
| 1487769998 | Elizabeth L. Wiley | Pathology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-08-21 |
| Street Address |
4101 WESLEY ST STE C |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896539 | Sarah Lou Mccrary | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2020-09-17 |
| 1700350451 | Krystal Dawn Lowry | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2019-01-16 |
| 1073016556 | Chasity Neece | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2018-03-12 |
| 1326410994 | Premier Greenville Associates Pa | Family Medicine | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2015-10-22 |
| 1215226048 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2011-04-01 |
| 1366750390 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2010-09-24 |
| 1659699007 | Dee Gordon Mccrary IIi | Podiatrist | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2010-05-10 |
| 1366776411 | Brucealynea Joy Knowlton | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2009-09-22 |
| 1578512505 | Karen Hunt Butcher | Psychologist | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on ELIZABETH J WILEY.
| 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.