MRS. BEVERLY ANNE WILSON (NPI# 1306248372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306248372 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY ANNE WILSON |
| Credential | RNC-BSN |
| Practice Address |
500 Crown Point Cir Ste 120 Grass Valley CA 95945-9561 |
| Practice Telephone | 5304702542 |
| Mailing Telephone | 5304702542 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
265267 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023552817 | Beverly N Wilson | Physician Assistant | 12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 | 2016-12-13 |
| 1720386451 | Beverly Wilson | Massage Therapist | 700 Dalrymple Rd, 203, Atlanta, GA 30328-1414 | 2011-03-03 |
| 1811173719 | Beverly K Wilson | Counselor | 3425 Francis St, Jackson, MI 49203-5052 | 2008-01-10 |
| 1316158017 | Beverly Wilson | Social Worker | 8400 East Prentice Avenue, Suite 1401, Greenwood Village, CO 80111-2926 | 2007-05-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1457336521 | Beverly Deann Wilson | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2005-12-13 |
| 1811449895 | Beverly Wilson | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2016-10-26 |
| 1376908194 | Beverly Belk Wilson | Nurse Practitioner | 6840 Glenwood Ave, Raleigh, NC 27612-7133 | 2015-12-21 |
| 1942693429 | Beverly Wilson | Community Health Worker | 1230 2nd Ave, Columbus, GA 31901-5241 | 2015-03-09 |
| 1467703157 | Beverly Cecile Wilson | Nurse Practitioner | 3817 Main St, Loris, SC 29569-3017 | 2012-09-21 |
| Street Address |
500 CROWN POINT CIR STE 120 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-9561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720161649 | Aubrey Lee Eubanks | Psychiatry & Neurology | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9514 | 2006-10-23 |
| 1245882109 | Kayla Eiermann | Counselor | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2019-07-11 |
| 1760849285 | Shannon O'shea | Counselor | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2016-01-28 |
| 1508249160 | Brendan Phillips | Counselor | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2015-07-01 |
| 1144608613 | Marcelline Letourneau | Counselor | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2015-05-15 |
| 1386820892 | Heather Jean Vance | Counselor | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2008-01-15 |
| 1043344070 | Donna Keith | Marriage & Family Therapist | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9514 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366933939 | Virgina Louise Ahrenholtz | Registered Nurse | 145 Glasson Way, Grass Valley, CA 95945-5723 | 2018-05-19 |
| 1972849941 | Andrea Lynn Skeen | Registered Nurse | 500 Crown Point Cir, Suite 100, Grass Valley, CA 95945-9561 | 2012-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
Please comment or provide details below to improve the information on MRS. BEVERLY ANNE 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.