TRINA J WILDER (NPI# 1518091255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518091255 |
Entity Type | Individual |
Full Name | TRINA J WILDER |
Credential | NNP |
Practice Address |
6215 Humphreys Blvd Suite 310 Memphis TN 38120-2367 |
Practice Telephone | 9017470291 |
Practice Fax Number | 9017470299 |
Mailing Telephone | 9017470291 |
Mailing Fax Number | 9017470299 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
A810203 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
0000012397 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6215 HUMPHREYS BLVD SUITE 310 |
City | MEMPHIS |
State | TN |
Zip Code | 38120-2367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871599316 | Michael Stuart Bronstein | Specialist | 6215 Humphreys Blvd, Ste 400, Memphis, TN 38120-2367 | 2005-06-21 |
1245655661 | Charity Brees | Nurse Practitioner | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2367 | 2014-02-21 |
1487082699 | Ebony Smith | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2013-10-25 |
1477831261 | Kristal D Taylor | Specialist | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-07-27 |
1174815609 | Catherine Ann Alexander | Pediatrics | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2373 | 2011-05-02 |
1215234505 | Leslie B Norman | Nurse Practitioner | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-02-22 |
1538471248 | Ana Tobiasz | Obstetrics & Gynecology | 6215 Humphreys Blvd, Memphis, TN 38120-2367 | 2010-07-10 |
1013238054 | Jason Glenn Williams | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 401, Memphis, TN 38120-2367 | 2010-06-14 |
1720309750 | Mary Katherine Johnson | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 100, Memphis, TN 38120-2367 | 2010-06-14 |
1073840104 | Annjanette Marie Howsan | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2009-11-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
Find all providers in zip 38120 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760907562 | Amanda Swint | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2807 | 2017-08-14 |
1265786008 | Meghan Rae Teel | Nurse Practitioner | 777 Jefferson Ave, Memphis, TN 38103 | 2012-11-01 |
1629609342 | Lauren Brooke Murdock | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-01-31 |
1881251312 | Candi Denise Shelburne | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2804 | 2019-05-21 |
1235692872 | Angela Warren | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2019-04-10 |
1033616776 | Cristina Nicole Martinez | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2018-04-10 |
1447762679 | Megan Stafeil | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2807 | 2017-10-27 |
1265955041 | Katie Leigh Walker | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2017-07-24 |
1538699921 | Brandi Nicole Hollis | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2017-06-18 |
1245763499 | Carrie Beth Jamerson | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2017-04-05 |
Find all providers in MEMPHIS |
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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.