MS. RENEE D WILSON (NPI# 1467653014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467653014 |
| Entity Type | Individual |
| Full Name | MS. RENEE D WILSON |
| Credential | RNP |
| Practice Address |
825 Graham Rd Benton AR 72015-8975 |
| Mailing Address |
Po Box 1270 Benton AR 72018-1270 |
| Practice Telephone | 5013176996 |
| Mailing Telephone | 5013176996 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | P00903 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417308909 | Renee Tanya Wilson | Counselor | 5535 Harvard Rd, Detroit, MI 48224-2163 | 2016-06-26 |
| 1386885549 | Renee Nichole Wilson | Speech-Language Pathologist | 2301 Research Blvd Ste 110, Rockville, MD 20850-6250 | 2009-03-18 |
| 1033202452 | Renee Proctor Wilson | Midwife | 1400 N Laventure Rd, Mount Vernon, WA 98273-2766 | 2006-09-30 |
| 1154949626 | Renee J Wilson | Counselor | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2020-07-10 |
| 1821599820 | Renee Bernice Wilson | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2018-02-24 |
| 1720528631 | Renee Wilson | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2017-02-27 |
| 1407229024 | Renee Marie Wilson | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2015-11-04 |
| 1780074492 | Renee Wilson | Pharmacy Technician | 7400 Bustleton Ave, Philadelphia, PA 19152-4312 | 2015-02-02 |
| 1750789590 | Renee Wilson | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2014-12-10 |
| 1174923692 | Renee Wilson | Registered Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2014-09-03 |
| Street Address |
825 GRAHAM RD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1205315900 | David Lamont Mccombs | Nurse Practitioner | 1696 Steel Bridge Rd, Benton, AR 72019-3875 | 2018-08-13 |
| 1750893889 | Kent Edwards | Nurse Practitioner | 11488 Sugar Creek Rd, Benton, IL 62812-4315 | 2017-10-30 |
| 1427385376 | Amber Nicole Thorne | Nurse Practitioner | 6468 State Highway 77, Benton, MO 63736-8237 | 2009-11-13 |
| 1457450827 | Lori D Mcbride | Nurse Practitioner | 1000 Highway 35 N Ste 8, Benton, AR 72019-2353 | 2006-09-22 |
| 1073547717 | Debbie Lynn Holman | Nurse Practitioner | 1403 N Main St, Benton, IL 62812-1918 | 2006-07-10 |
| 1568091270 | Toni Shantel Gordon-bailey | Nurse Practitioner | 615 Old Symsonia Rd, Benton, KY 42025-5042 | 2020-04-04 |
| 1912549965 | Brooke Hudson | Nurse Practitioner | 201 Bailey Ln, Benton, IL 62812-1999 | 2019-10-10 |
| 1497288492 | Diana Tomlianovich | Nurse Practitioner | 203 Bailey Ln, Suite 1, Benton, IL 62812-2266 | 2017-04-06 |
| 1528412095 | Ann Smith Depoe | Nurse Practitioner | 4469 Red Rock Rd, Benton, PA 17814-7606 | 2016-04-20 |
| Find all providers in BENTON | ||||
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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.