LISA ANN WILSON (NPI# 1295918076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295918076 |
| Entity Type | Individual |
| Full Name | LISA ANN WILSON |
| Credential | M.D. |
| Practice Address |
304 S Jones Blvd Las Vegas NV 89107-2623 |
| Mailing Address |
16950 Jasmine St Apt 59 Victorville CA 92395-5706 |
| Practice Telephone | 7028828675 |
| Mailing Telephone | 4198101459 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
17997 | NV | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
A 121788 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18300 Us Highway 18, Apple Valley, CA 923072206 | 7602422311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1386282358 | Lisa May Wilson | Registered Nurse | 563 Landings Blvd, Ann Arbor, MI 48103-2715 | 2019-12-20 |
| 1720507163 | Lisa M Wilson | Massage Therapist | 19833 Road 124, Tulare, CA 93274-9597 | 2017-09-18 |
| 1639535545 | Lisa Wilson | Social Worker | 12004 Lansdowne Rd, Austin, TX 78754-5873 | 2016-01-07 |
| 1073809018 | Lisa Zobrist Wilson | Nurse Practitioner | 10844 Thistlewood Dr, Baton Rouge, LA 70810-2921 | 2011-06-28 |
| 1215178777 | Lisa Wilson | Counselor | 4826 5th St Nw, Washington, DC 20011-6107 | 2009-03-13 |
| 1235386699 | Lisa Elaine Wilson | Counselor | 1052 Gardner Rd Ste 700, Charleston, SC 29407-5702 | 2008-08-27 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1518175629 | Lisa Dawn Wilson | Occupational Therapist | 550 Thornton Pkwy Unit 110, Thornton, CO 80229-2166 | 2007-05-21 |
| 1750598173 | Lisa Renee Wilson | Occupational Therapy Assistant | 7413 Pierce Pl, Merrillville Bra, IN 46410-4679 | 2007-05-16 |
| Street Address |
304 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982265120 | Tina Rios | Behavior Technician | 304 S Jones Blvd, Suite 3465, Las Vegas, NV 89107-2623 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
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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.