MR. JOHN ZAAKERY WILSON


Address: 3350 E Beech Way # A, Wasilla, AK 99654-7417
Phone: 7608080251

MR. JOHN ZAAKERY WILSON (NPI# 1376107979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376107979
Entity Type Individual
Full Name MR. JOHN ZAAKERY WILSON
Credential PSS
Practice Address 3350 E Beech Way # A
Wasilla
AK 99654-7417
Mailing Address 300 N Main St
Wasilla
AK 99654-7017
Practice Telephone 7608080251
Mailing Telephone 9073578780
Enumeration Date 2019-04-29
Last Update Date 2019-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK DRIVERS LICENSE 7005862 01

Other Providers JOHN WILSON

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1639673924 John Michael Wilson Student in an Organized Health Care Education/Training Program 235 Sable Fls, San Antonio, TX 78258-4870 2018-03-21
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1194110718 John Stewart Wilson Jr. Radiology 220 Glen Forest Dr, Greensburg, PA 15601-3718 2015-03-31
1720417496 John Wilson Specialist/Technologist, Other 2550 Spurlock Rd, Nederland, TX 77627 2013-11-04
1982031944 John Forrest Wilson IIi Licensed Practical Nurse 412 Ketcham St, Riverside, OH 45431-2124 2013-10-03
1265782213 John Matthew Wilson Speech-Language Pathologist 3517 Norfolk Ct Se, Olympia, WA 98501-7021 2012-09-18
1396009676 John A Wilson II Rehabilitation Practitioner 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 2012-07-01
1932494127 John C Wilson Dentist 2675 Central Ave Ste L8, Billings, MT 59102-6686 2011-06-15
1194019729 John Allen Wilson Jr. Orthopaedic Surgery 7327 Rogers Point Rd Nw, Walker, MN 56484-2523 2011-05-31

Office Location

Street Address 3350 E BEECH WAY # A
City WASILLA
State AK
Zip Code 99654-7417

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003426784 Colleen Maggie Newcity Case Manager/Care Coordinator 851 Westpoint Suite 310, Wasilla, AK 99654 2020-08-06
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1922648690 Achieve Medical Alaska LLC Clinic/Center 1981 E Palmer, Suite 230, Wasilla, AK 99654 2020-01-10
1588205538 Juan Carlos Garcia Physician Assistant 950 East Bogard Road, Suite 103, Wasilla, AK 99654 2019-10-01
1427610864 Sharon Webb Counselor 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 2019-07-06
1306401864 Logan Lee Cook Peer Specialist 2953 E Fairview Loop, Wasilla, AK 99654 2019-05-09
1053883595 Moose Creek Medical Clinic LLC Nurse Practitioner 2341 S. Fern St., Suite 300, Wasilla, AK 99654 2018-12-21
1487124962 Melissa A Stevens Massage Therapist 2201 W That Rd, Wasilla, AK 99654 2018-11-28
1609359561 Audrey E Beers Midwife 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 2018-09-07
1093297418 Karlee Janine Mccorry Occupational Therapist 613 S Knik-goose Bay Rd, Wasilla, AK 99654 2018-09-01
Find all providers in zip 99654

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215552526 Joshua Dee Engle Peer Specialist 1419 S Kittiwake St, Wasilla, AK 99623-9302 2020-06-11
1659995884 Amy M Lowe Peer Specialist 1363 W Spuce Ave, Wasilla, AK 99654 2020-06-03
1104449800 Aubrey Danielle Cave Peer Specialist 5752 W Kranberry Ln, Wasilla, AK 99623-1050 2020-05-28
1629610563 Mikko Joseph Barribeau Peer Specialist 2762 N Azurite Cir, Wasilla, AK 99654-4540 2019-10-11
1306401864 Logan Lee Cook Peer Specialist 2953 E Fairview Loop, Wasilla, AK 99654 2019-05-09
1912506098 Christopher Johnson Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-10-20
1497353874 Brianne Jean Bird Peer Specialist 291 E Swanson Ave, Wasilla, AK 99654-7004 2020-10-16
1003420183 Brittany Lynne Russell Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-09-04
1124632419 Sydney Grisham Peer Specialist 7010 E Bogard Rd, Wasilla, AK 99654-4711 2020-09-03
1508476268 Kenneth Dwayne Neill Peer Specialist 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 2020-08-06
Find all providers in WASILLA

Competitor

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City WASILLA
Zip Code 99654

Improve Information

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Dataset Information

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.

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