CANDICE LYNN WILSON (NPI# 1215997028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215997028 |
Entity Type | Individual |
Full Name | CANDICE LYNN WILSON |
Credential | M.D. |
Practice Address |
990 Oak Ridge Tpke Oak Ridge TN 37830-6976 |
Mailing Address |
Po Box 11105 Knoxville TN 37939-1105 |
Practice Telephone | 8658354600 |
Practice Fax Number | 8658354609 |
Mailing Telephone | 8655882928 |
Mailing Fax Number | 8654509374 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2008-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 00027018 | AL | Other Service Providers |
N | 174400000X | Specialist | 055042 | GA | Other Service Providers |
Y | 174400000X | Specialist | 0000037867 | TN | Other Service Providers |
N | 174400000X | Specialist | ME94386 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | FIRST HEALTH | 1882432 | 01 |
TN | BCBS OF TN | 4184755 | 01 |
KY | 7100041970 | 05 | |
GA | 807388100 | 05 | |
TN | CIGNA | 9495633 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609314061 | Candice Melody Wilson | Nurse Practitioner | 1186 Cypress Glen Cir, Kissimmee, FL 34741-7560 | 2017-02-06 |
1902282478 | Candice Wilson | Occupational Therapy Assistant | 82824 Crawford Dr, Indio, CA 92201-7491 | 2015-08-06 |
1396379004 | Candice L Wilson | Counselor | 11057 Turfgrass Way, Indianapolis, IN 46236-8320 | 2020-03-03 |
1902304439 | Candice Newton Wilson | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2018-01-30 |
1326257189 | Candice Lynn Wilson | Speech-Language Pathologist | 97 Preston Rd, Griswold, CT 06351-2516 | 2007-05-21 |
1508086935 | Candice Wilson | Counselor | 900 Shugart Rd, Dalton, GA 30720 | 2007-04-26 |
Street Address |
990 OAK RIDGE TPKE |
City | OAK RIDGE |
State | TN |
Zip Code | 37830-6976 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376549501 | Carol Howard Bell | Pharmacist | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2005-06-22 |
1295346195 | Melissa Wells | Nurse Practitioner | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2020-08-13 |
1518595453 | Kayla Renee Milen | Registered Nurse | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2020-03-27 |
1528542099 | Holly Lowe | Pharmacist | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2018-09-20 |
1407362163 | Katherine J Irwin | Nutritionist | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2017-12-18 |
1437692498 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 990 Oak Ridge Tpke, Methodist Medical Center, Oak Ridge, TN 37830-6976 | 2016-11-23 |
1093185381 | Ester Beasley | Nurse Anesthetist, Certified Registered | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2015-09-30 |
1326418807 | Brian Scott Burnett | Nurse Practitioner | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2015-09-28 |
1518346402 | Heather Stooksbury | Internal Medicine | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2015-05-25 |
1194126870 | Ami Michelle Goins | Nurse Practitioner | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2014-09-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
Find all providers in zip 37830 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841648482 | Karen Costanza | Specialist | 14 Gold Ln, Oak Ridge, NJ 07438-9023 | 2016-05-24 |
1215266135 | Rubin Burt Prater | Specialist | Highway 58 - Gallaher Road, K-1007, Ms-7422, Oak Ridge, TN 37831-4699 | 2009-12-24 |
1023129772 | Oral Surgery Specialists of Tennessee, P.C. | Specialist | 140 E Division Rd, Oak Ridge, TN 37830-6937 | 2006-08-31 |
1063421550 | Pathology Medical Associates, Pllc | Specialist | 129 E Division Rd, Oak Ridge, TN 37830-6907 | 2006-08-05 |
1629012109 | Kenneth T. Miller Jr. | Specialist | 160a W Tennesse Ave, Oak Ridge, TN 37830-6940 | 2006-06-15 |
1629063342 | Paul Barongan | Specialist | 145 E Vance Rd, Oak Ridge, TN 37830-6528 | 2005-09-19 |
1427679539 | Amanda Ellice Jett | Specialist | 100 Adams Ln, Oak Ridge, TN 37830-4909 | 2020-04-29 |
1497206858 | Don Erick Mcilwain | Specialist | 300 Laboratory Rd, Oak Ridge, TN 37830-6911 | 2016-10-20 |
1295977783 | Adam B Shrewsberry | Specialist | 800 Oak Ridge Tpke, Suite A101, Oak Ridge, TN 37830-6957 | 2009-03-30 |
1710149075 | Allergy Associates Pa | Specialist | 200 New York Ave, Suite 250, Oak Ridge, TN 37830-5212 | 2008-06-27 |
Find all providers in OAK RIDGE |
Please comment or provide details below to improve the information on CANDICE LYNN 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.