JACQUELINE A. WILSON (NPI# 1295022622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295022622 |
| Entity Type | Individual |
| Full Name | JACQUELINE A. WILSON |
| Credential | CONTRACTOR |
| Practice Address |
12257 Middlebrook Sq San Diego CA 92128-3759 |
| Practice Telephone | 6199227290 |
| Mailing Telephone | 6199227290 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687791 | Jacqueline Latia Wilson | Nurse Practitioner | 225 N Clifton Ave, Louisville, KY 40206-2496 | 2019-09-08 |
| 1790186393 | Jacqueline Wilson | Nurse Practitioner | 1101 Highway 76 Ste A, Clarksville, TN 37043-2420 | 2014-09-15 |
| 1225244692 | Jacqueline Golden Wilson | Occupational Therapist | 15115 Eastview Dr, Upperco, MD 21155-9746 | 2007-05-15 |
| 1942373212 | Jacqueline Wilson | Counselor | 6 Cabot Pl Ste 6, Stoughton, MA 02072-4625 | 2006-11-16 |
| 1154951556 | Jacqueline Anne Wilson | Nurse Practitioner | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2020-01-24 |
| 1457909830 | Jacqueline Lois Reagor Wilson | Speech-Language Pathologist | 9285 Medical Plaza Dr, Charleston, SC 29406-9126 | 2019-08-29 |
| 1245735943 | Jacqueline Wilson | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2018-03-26 |
| 1457852014 | Jacqueline Wilson | Social Worker | 2219 Claiborne Ave, Shreveport, LA 71103-4301 | 2018-02-27 |
| 1801348636 | Jacqueline Sue Wilson | Physical Therapist | 901 N Porter Ave, Norman, OK 73071-6404 | 2016-10-27 |
| 1487102687 | Jacqueline Maureen Wilson | Counselor | 221 Avenue B, Snohomish, WA 98290-2840 | 2016-09-15 |
| Street Address |
12257 MIDDLEBROOK SQ |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215204 | Jacinto Verges IIi | Contractor | 2117 Bluebird St, San Diego, CA 92114-1502 | 2019-10-04 |
| 1992231633 | Michael Williams | Contractor | 8590 Production Ave, Suite B, San Diego, CA 92121-2281 | 2017-05-01 |
| 1083168983 | Mohamed Omar Yusuf | Contractor | 4252 Van Dyke Ave Apt 4, San Diego, CA 92105-1255 | 2016-08-09 |
| 1194184648 | David Troupin | Contractor | 2949 Garnet Ave, San Diego, CA 92109-3826 | 2016-02-12 |
| 1881062917 | Derlin Hsu | Contractor | 4663 Kansas St, Unit 10, San Diego, CA 92116-3223 | 2015-09-06 |
| 1316339211 | Del Sur Speech Therapy | Contractor | 8395 Katherine Claire Ln, San Diego, CA 92127-4107 | 2015-03-02 |
| 1487052007 | Tara Marie Graviss | Contractor | 4661 35th St, San Diego, CA 92116-3537 | 2014-12-13 |
| 1437568094 | Celeste Conover | Contractor | 7455 Sean Taylor Ln, San Diego, CA 92126-6091 | 2014-08-07 |
| 1942627765 | Matthew Topper | Contractor | 2254 San Diego Ave, Suite 200, San Diego, CA 92110-2944 | 2014-03-19 |
| 1376967638 | Miramar Billing Solutions, Inc. | Contractor | 4203 Genesee Ave, #103, San Diego, CA 92117-4950 | 2014-02-06 |
| Find all providers in SAN DIEGO | ||||
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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.