SHANE WILSON (NPI# 1245548239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245548239 |
| Entity Type | Individual |
| Full Name | SHANE WILSON |
| Practice Address |
741 Rancho Via Dr Sparks NV 89434-4051 |
| Practice Telephone | 7752239040 |
| Practice Fax Number | 7754531502 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1982009569 | Shane Michael Wilson | Chiropractor | 938 Wrens Roost Cir, 2, Memphis, TN 38119-0510 | 2014-10-25 |
| 1063742138 | Shane Ray Wilson | Counselor | 2820 Weymouth Way, Norman, OK 73071-7269 | 2010-01-12 |
| 1902440035 | Shane Marcus Wilson | Physical Therapy Assistant | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-11-01 |
| 1437624236 | Shane David Wilson | Nurse Practitioner | 1249 15th St Ste 4000, Huntington, WV 25701-3663 | 2018-10-08 |
| 1477808467 | Shane Charles Wilson | Internal Medicine | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2012-07-17 |
| 1336314392 | Shane Wilson | Counselor | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2008-04-29 |
| Street Address |
741 RANCHO VIA DR |
| City | SPARKS |
| State | NV |
| Zip Code | 89434-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003055799 | Nick B Stevens | Community Based Residential Treatment Facility, Mental Illness | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2009-02-19 |
| 1144518267 | Paul Ithurralde | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-11 |
| 1205124229 | Matthew Schupner | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-11 |
| 1689961708 | Trellissa Mckay | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1316234438 | Lorrie V Scow | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1942597067 | Richard Price | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1861789984 | Ray K Scow | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1609184696 | Lacie Hawkins | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| 1326356312 | Mark Johnson | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| 1124336185 | Krista Williams | Social Worker | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
| 1568009892 | Daniel Wesley Jacobson | Home Health Aide | 800 Nichols Bldv #222, Sparks, NV 89434 | 2019-12-05 |
| 1437649688 | Barbara M Robinson | Home Health Aide | 1963 E. Prayer Way, Sparks, NV 89434 | 2018-05-14 |
| 1851788277 | P6 Family Services LLC | Case Management | 2200 North D'andrea Pkwy #2411, Sparks, NV 89434 | 2015-04-23 |
| 1700188430 | Etxea Services | Community/Behavioral Health | 741 Rancho Villa Drive, Sparks, NV 89434 | 2010-12-01 |
| 1194970640 | Steven Joel Madison | Registered Nurse | 1999 Mania Court, Sparks, NV 89434 | 2008-11-25 |
| 1730342155 | Raymond Miranda Duro | Pharmacist | 2375 East Prater Way Sparks, Sparks, NV 89434 | 2008-07-07 |
| 1124293436 | Steve D Smith | Hearing Instrument Specialist | 1450 E Prater Way Ste 111, Sparks, NV 89434 | 2008-04-28 |
| 1437355799 | Kristin Leigh Koetje | Social Worker | 310 Rue De La Lavanda, Sparks, NV 89434 | 2007-06-25 |
| 1063549582 | Urology Institute | Urology | 2385 E Prater Way Suite 112, Sparks, NV 89434 | 2007-02-28 |
| Find all providers in zip 89434 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
| 1194359000 | Jamie Ann Perrigue | Rehabilitation Practitioner | 989 Rook Way, Sparks, NV 89441-8897 | 2020-02-29 |
| 1225411648 | Samantha Ryckebosch | Rehabilitation Practitioner | 425 Camino De Grato, Sparks, NV 89441-7536 | 2015-07-02 |
| 1447641980 | Andrea Delfina Gonzales | Rehabilitation Practitioner | 2105 Capurro Way Ste 260, Sparks, NV 89431-8586 | 2015-02-05 |
| 1497166037 | Monika V Webb | Rehabilitation Practitioner | 7815 Bermeso Ct, Sparks, NV 89436-6222 | 2014-05-16 |
| 1366861932 | Whitney Genseal | Rehabilitation Practitioner | 5200 S Los Altos Pkwy Apt 98, Sparks, NV 89436-7684 | 2014-04-10 |
| 1073948907 | Robert Murray Collins Jr. | Rehabilitation Practitioner | 491 S Sand Crane Cir, Sparks, NV 89436-1664 | 2013-09-11 |
| 1760828289 | Jennifer Schultz | Rehabilitation Practitioner | 2310 Dodge Dr, Sparks, NV 89436-5023 | 2013-05-13 |
| 1528339504 | Kailey Kim Suh | Rehabilitation Practitioner | 350 Harbour Cove Dr Apt 245, Sparks, NV 89434-7869 | 2012-01-23 |
| 1578831590 | Rebecca Louise Elquist | Rehabilitation Practitioner | 1721 Meadowvale Way, Sparks, NV 89431-2947 | 2011-12-05 |
| Find all providers in SPARKS | ||||
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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.