JUDITH RUTH WILSON (NPI# 1275736191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275736191 |
| Entity Type | Individual |
| Full Name | JUDITH RUTH WILSON |
| Credential | NP |
| Practice Address |
1645 Clark Ave Unit 116 Long Beach CA 90815-3807 |
| Practice Telephone | 5629619146 |
| Practice Fax Number | 5629619146 |
| Mailing Telephone | 5629619146 |
| Mailing Fax Number | 5629619146 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1340 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003228065 | Judith Wilson | Pharmacist | 10430 Twin Cities Rd, Galt, CA 95632-9032 | 2014-05-27 |
| 1811268089 | Judith Wilson | Licensed Practical Nurse | 17030 West Rd, Wellington, OH 44090-9611 | 2012-01-19 |
| 1487728010 | Judith Diane Wilson | Chiropractor | 13169 N Dutch Ln, Ashley, IL 62808-4108 | 2006-11-17 |
| 1164453932 | Judith H Wilson | Legal Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-07-06 |
| 1992732697 | Judith Julie Wilson | Chiropractor | 880 Southampton Rd, Benicia, CA 94510-1907 | 2006-06-27 |
| 1043298110 | Judith W Wilson | Nurse Practitioner | 13200 Mccracken Rd, Garfield Hts, OH 44125-1906 | 2006-01-09 |
| 1770866048 | Judith Wilson | Case Manager/Care Coordinator | 730 Eastern Ave, Malden, MA 02148-5924 | 2011-09-23 |
| 1457682023 | Judith A Wilson | Occupational Therapy Assistant | 6011 Se Tower Dr, Stuart, FL 34997-7615 | 2010-01-21 |
| 1598910762 | Judith Plamp Wilson | Nurse Practitioner | 1930 Bishop Lane, Suite 1600, Louisville, KY 40218-1948 | 2008-12-01 |
| 1205963634 | Judith D Wilson | Family Medicine | 2100 Broadway, Denver, CO 80205-2526 | 2007-02-27 |
| Street Address |
1645 CLARK AVE UNIT 116 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1548654650 | Diane Cervelli | Nurse Practitioner | 1030 E 1st St, 3, Long Beach, CA 90802-5551 | 2015-03-26 |
| 1346583390 | Joanne Elizabeth Armenia | Nurse Practitioner | 4901 E Carson St, Long Beach, CA 90808-1706 | 2013-03-28 |
| 1619238680 | Rosemarie Thompson | Nurse Practitioner | 125 E Market St, Long Beach, NY 11561-2132 | 2012-06-06 |
| 1770882912 | Diane Morgan | Nurse Practitioner | 330 E Broadway, Apt. 203, Long Beach, NY 11561-4323 | 2011-03-26 |
| 1174786875 | Lea Lynette Pascual | Nurse Practitioner | 2491 East Anaheim Street, # 3, Long Beach, CA 90804 | 2008-07-03 |
| 1063691061 | Riza Alma Vinzon | Nurse Practitioner | 4401 Atlantic Ave Ste 202, Long Beach, CA 90807 | 2007-10-26 |
| 1811005473 | Anita Cordova | Nurse Practitioner | 5901 East Seventh Street, Long Beach, CA 90822 | 2006-08-25 |
| 1538127477 | Rose Marie Semingson | Nurse Practitioner | 2600 Redondo Ave., Long Beach, CA 90806-2328 | 2006-05-02 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on JUDITH RUTH 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.