MRS. PHYLLIS WILSON (NPI# 1346452109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346452109 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS WILSON |
| Credential | OTRL |
| Practice Address |
160 Wilson Dr Somerset KY 42503-4595 |
| Practice Telephone | 6066795730 |
| Mailing Telephone | 6066795730 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | KY-R2572 | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396693 | Phyllis Newsome Wilson | Technician | 8423 Empress Ct, Charlotte, NC 28227 | 2019-09-27 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1861411316 | Phyllis T Wilson | Marriage & Family Therapist | 2650 Jones Way Ste 21, Simi Valley, CA 93065-1226 | 2006-07-18 |
| 1699801142 | Phyllis Mack Wilson | Physician Assistant | 1604 Medical Dr, Laurinburg, NC 28352-5524 | 2007-02-26 |
| Street Address |
160 WILSON DR |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770846792 | Joyce A Osano | Specialist | 41 Annapolis St, Somerset, NJ 08873-3436 | 2012-06-25 |
| 1518225010 | Dennis Roger Lane | Specialist | 237 Hickory Ave, Somerset, KY 42503-4132 | 2012-05-03 |
| 1780858217 | Jeffery S. Landes | Specialist | 13 Clyde Rd, # 103, Somerset, NJ 08873-5037 | 2008-04-16 |
| 1699953190 | Chest & Intensive Care Medicine, L.L.C. | Specialist | 35 Clyde Rd Ste 105, Somerset, NJ 08873-5033 | 2008-02-06 |
| 1992984249 | Ann G Smith M.d.,p.c. | Specialist | 339 W Union St, Somerset, PA 15501-1543 | 2007-11-02 |
| 1992912661 | Karen Wilson | Specialist | 2003 Merlin Ave, Somerset, KY 42503-2520 | 2007-05-16 |
| 1952428039 | Karen Rae Marshall | Specialist | 106 Shady Lane, Somerset, KY 42501 | 2007-03-23 |
| 1215091376 | Kwabena Barimah Owusu-dapaah | Specialist | 710 Easton Ave Ste 1a, Somerset, NJ 08873-1855 | 2006-12-21 |
| 1851477475 | Jai B Agarwal | Specialist | 1 Jimmy Ct, Somerset, NJ 08873-7100 | 2006-10-27 |
| 1255416624 | Martin Ernest Siegel | Specialist | 310 Langdon St Ste 5, Somerset, KY 42503-2795 | 2006-10-26 |
| Find all providers in SOMERSET | ||||
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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.