JESSICA L WILSON (NPI# 1437283264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437283264 |
Entity Type | Individual |
Full Name | JESSICA L WILSON |
Credential | R.PSGT |
Practice Address |
251 E Southlake Blvd Southlake TX 76092-6269 |
Mailing Address |
251 E Southlake Blvd Suite 150 Southlake TX 76092-6269 |
Practice Telephone | 8174240971 |
Practice Fax Number | 8888664929 |
Mailing Telephone | 8174240971 |
Mailing Fax Number | 8888664929 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2017-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
5193 | TX | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
Street Address |
251 E SOUTHLAKE BLVD |
City | SOUTHLAKE |
State | TX |
Zip Code | 76092-6269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073039434 | Sheena Tavana | Specialist/Technologist, Other | 251 E Southlake Blvd, Southlake, TX 76092-6269 | 2017-08-17 |
1376089961 | Avery Cording | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
1457897050 | Qi Zhang | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
1992241574 | Robert Pierce | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
1992150288 | John Mouser | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2016-04-25 |
1487029880 | Samantha Birtalan | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2015-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
Find all providers in zip 76092 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609396431 | Kami Pope | Specialist/Technologist, Other | 251 E. Southlake Blvd, 150, Southlake, TX 76092 | 2017-06-22 |
1558891879 | Neurite Monitoring, LLC | Specialist/Technologist, Other | 2600 E Southlake Blvd Ste 120, 298, Southlake, TX 76092-8045 | 2017-06-19 |
1265906366 | Latoria Randile | Specialist/Technologist, Other | 251 E Southlake Blvd Ste 150, Southlake, TX 76092-6276 | 2019-01-11 |
1902322365 | Synmed, LLC | Specialist/Technologist, Other | 251 E Southlake Blvd Ste 150, Southlake, TX 76092-6276 | 2017-08-17 |
1073039434 | Sheena Tavana | Specialist/Technologist, Other | 251 E Southlake Blvd, Southlake, TX 76092-6269 | 2017-08-17 |
1376089961 | Avery Cording | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
1457897050 | Qi Zhang | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
1992241574 | Robert Pierce | Specialist/Technologist, Other | 251 E Southlake Blvd, 150, Southlake, TX 76092-6269 | 2017-01-06 |
1992150288 | John Mouser | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2016-04-25 |
1487029880 | Samantha Birtalan | Specialist/Technologist, Other | 251 E Southlake Blvd, Suite 150, Southlake, TX 76092-6269 | 2015-12-10 |
Find all providers in SOUTHLAKE |
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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.