MS. DOMINIQUE RENEE WILSON (NPI# 1295019909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295019909 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE RENEE WILSON |
| Credential | F.N.P. |
| Practice Address |
1380 River Bend Dr Dallas TX 75247-4914 |
| Practice Telephone | 2147436159 |
| Practice Fax Number | 2147436159 |
| Mailing Telephone | 2147436159 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2012-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 777417 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345192 | Dominique Marie Wilson | Counselor | 785 Wall St # 200, O Fallon, IL 62269-1959 | 2018-05-08 |
| 1831478023 | Dominique Lashan Wilson | Counselor | 1099 S Broadway, Ste. 260 and 280, Lexington, KY 40504-3030 | 2011-08-05 |
| 1518567874 | Dominique Wilson | Midwife | 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 | 2020-10-27 |
| 1467081109 | Dominique Wilson | Occupational Therapist | 14906 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2020-04-04 |
| 1225502065 | Dominique Wilson | Physical Therapist | 14405 Laurel Pl Ste 102, Laurel, MD 20707-6102 | 2019-01-15 |
| 1750867511 | Dominique Wilson | Developmental Therapist | 1017 Fayetteville Rd Se # B, Atlanta, GA 30316-2932 | 2018-07-16 |
| Street Address |
1380 RIVER BEND DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662678 | Dallas Metrocare Services | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2005-10-12 |
| 1306315130 | Susan Jacob | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2018-11-22 |
| 1750894150 | Evita Lambert | Occupational Therapy Assistant | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-11-08 |
| 1174052336 | Channing Moran Anderson | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-06-09 |
| 1669918488 | Esiah Allen | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-01-18 |
| 1528504412 | Orlinda Mapa | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2017-01-16 |
| 1356892707 | Lolade Oyetunji | Specialist/Technologist | 1380 River Bend Dr, Suite 200, Dallas, TX 75247-4914 | 2016-10-20 |
| 1265982730 | Louise Preston | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2016-10-09 |
| 1053860148 | Oluyemi Shorunke | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2016-09-29 |
| 1861844359 | George Alapat | Counselor | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274304 | Arlena Culpepper Guzy | Nurse Practitioner | 900 Jackson St Ste 350, Dallas, TX 75202-4486 | 2020-04-21 |
| 1689205056 | Lauren Ashley Gore | Nurse Practitioner | 7777 Glen America Dr Apt 330, Dallas, TX 75225-1839 | 2020-02-03 |
| 1508402405 | Bailey Mcgee | Nurse Practitioner | 2901 Indiana Blvd Apt 356, Dallas, TX 75226-1543 | 2019-11-26 |
| 1235790288 | Julie Mills Struble | Nurse Practitioner | 3607 Oak Lawn Ave Unit 280, Dallas, TX 75219-4743 | 2019-06-20 |
| 1689238339 | Katherine O'connor | Nurse Practitioner | 6300 Harry Hines Blvd Fl 6, Dallas, TX 75235-5259 | 2019-04-29 |
| 1033678792 | Sandra Beverley Burrell-spence | Nurse Practitioner | 41 Riders Rdg, Dallas, GA 30132-8399 | 2019-03-12 |
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1841701984 | Tam Numinh Tran | Nurse Practitioner | 17370 Preston Rd Ste 412, Dallas, TX 75252-5611 | 2017-10-16 |
| 1356852784 | Dallas County Hospital District | Nurse Practitioner | 1822 Young St, Dallas, TX 75201-5612 | 2017-10-12 |
| 1497274294 | Kelly Beth Caldwell | Nurse Practitioner | 6301 Gaston Ave Ste 100, Dallas, TX 75214-3922 | 2017-09-12 |
| Find all providers in DALLAS | ||||
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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.