MRS. SANDRA MARIE WILSON (NPI# 1205990561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205990561 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA MARIE WILSON |
| Other Name | SANDRA MARIE WILSON |
| Practice Address |
1233 Southwest Ave Johnson City TN 37604-6596 |
| Mailing Address |
119 Quail Run Johnson City TN 37601-5308 |
| Practice Telephone | 4239794594 |
| Mailing Telephone | 4235425272 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH0000003997 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842897 | Sandra D Wilson | Case Manager/Care Coordinator | 5461 Portman Dr, Noblesville, IN 46062-8225 | 2020-08-17 |
| 1265848469 | Sandra Wilson | Physical Therapist | 2899 5 Frks Trickum Rd, Lawrenceville, GA 30044-5803 | 2014-07-08 |
| 1356468441 | Sandra Baird Wilson | Nurse Practitioner | 2005 Prince Avenue, Athens, GA 30606 | 2007-03-23 |
| 1235262056 | Sandra Sloan Wilson | Physical Therapist | 13550 Jog Rd Ste 100, Delray Beach, FL 33446-3808 | 2007-03-13 |
| 1023168259 | Sandra A Wilson | Marriage & Family Therapist | 3617 Ricardo, Redding, CA 96002 | 2007-01-11 |
| 1134295876 | Sandra B Wilson | Nurse Practitioner | 189 Wheatly Road, Ahrc Nassau County, Brookville, NY 11545 | 2006-11-27 |
| 1174566814 | Sandra H. Wilson | Physical Therapist | 88 State Route 37, Unit 2, New Fairfield, CT 06812-5036 | 2006-06-13 |
| 1316906415 | Sandra J Wilson | Counselor | 304 W Collin Raye Dr, 103-a, De Queen, AR 71832-2013 | 2006-03-20 |
| 1619584752 | Sandra Lynn Wilson | Technician | 411 W Main St, Romney, WV 26757-1530 | 2020-09-23 |
| 1912569609 | Sandra Lynn Wilson | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2019-07-02 |
| Street Address |
1233 SOUTHWEST AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427020858 | Linda J Mcclure | Registered Nurse | 1233 Southwest Ave, Northeast Tennessee Regional Health Office, Johnson City, TN 37604-6596 | 2006-02-01 |
| 1780983619 | Melissa Ann Taylor | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2011-03-17 |
| 1740500305 | Kim D Taber | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2010-06-07 |
| 1578880399 | Alice Ford | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2010-05-04 |
| 1356514301 | Melanie Fritts Bishop | Dental Hygienist | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2008-04-10 |
| 1568594646 | Susan Michelle Ramsey | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-03-12 |
| 1134264302 | Amy Elizabeth Waters | Dietitian, Registered | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-21 |
| 1508909193 | Rebekah M Burns | Dietitian, Registered | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-14 |
| 1831239755 | Shirley Karen Hughes | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-08 |
| 1518006212 | Ann Ramsey Shepard | Registered Nurse | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1790998276 | Frances Ruth Ketron | Dental Hygienist | 2012 Sherwood Rd, Johnson City, TN 37601 | 2007-05-08 |
| 1386793420 | Nicole Renee Foster | Dental Hygienist | 415 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2007-01-09 |
| 1093879900 | Lisa Diane Lowe | Dental Hygienist | 1233 Southwest Avenue Extension, Johnson City, TN 37604-6519 | 2006-12-22 |
| 1588728570 | Teresa Keefauver Carson | Dental Hygienist | 1233 Southwest Ave. Extension, Johnson City, TN 37604-6519 | 2006-12-21 |
| 1639679566 | Cynthia Hollows | Dental Hygienist | 1303 Carroll Creek Rd, Johnson City, TN 37615-4790 | 2018-02-16 |
| 1144746546 | Felicia Diane Chapman | Dental Hygienist | 400 E Watauga Ave, Johnson City, TN 37601-4079 | 2017-08-17 |
| 1447680582 | Amanda Lynn Mcgill | Dental Hygienist | 2203 Mckinley Rd, Johnson City, TN 37604-6893 | 2013-11-26 |
| 1518399823 | Stacey Cross | Dental Hygienist | 1303 Carroll Creek Rd, Ste 120, Johnson City, TN 37615-4674 | 2013-08-08 |
| 1356514301 | Melanie Fritts Bishop | Dental Hygienist | 1233 Southwest Ave, Johnson City, TN 37604-6596 | 2008-04-10 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.