MRS. CHARLENE A WILSON (NPI# 1518465772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518465772 |
| Entity Type | Individual |
| Full Name | MRS. CHARLENE A WILSON |
| Credential | PA-C |
| Practice Address |
5955 Ponce De Leon Blvd Coral Gables FL 33146-2423 |
| Practice Telephone | 3056611515 |
| Mailing Telephone | 3056611515 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9111001 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA DEPARTMENT OF HEALTH | PA9111001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 45th St, West Palm Beach, FL 334072413 | 7542104016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290995 | Charlene Wilson | Dietitian, Registered | 4553 Fairecroft Ter, Suwanee, GA 30024-4066 | 2019-11-19 |
| 1760888911 | Charlene Wilson | Nurse Practitioner | 122 Pinnell St, Ripley, WV 25271-9101 | 2014-11-17 |
| 1730204272 | Charlene Marie Wilson | Physical Therapist | 700 Town Bank Rd, North Cape May, NJ 08204-4411 | 2007-03-21 |
| 1215094974 | Charlene Wilson | Counselor | 2125 Winthrop Rd, Suite C, Lincoln, NE 68502-4156 | 2007-01-02 |
| Street Address |
5955 PONCE DE LEON BLVD |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282359 | John Herbert Kaelber | Obstetrics & Gynecology | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 | 2005-08-12 |
| 1083242457 | Tatjana Velikopoljski | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2020-03-31 |
| 1336782143 | Christina Lynn Smith | Emergency Medicine | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-10-24 |
| 1710531231 | Stephanie Cernuto | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-08-01 |
| 1659836146 | Claudia M Saldana | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-02-08 |
| 1568968667 | Adianet Perez | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-04-05 |
| 1801398243 | Maylin Garcia | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-03-01 |
| 1548761059 | Kristen G. Williams | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-02-21 |
| 1508372954 | South Florida Pediatric Multi Specialty | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2017-12-21 |
| 1386163913 | Patricia Hernandez | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| 1316494826 | Samantha Nelson | Physician Assistant | 1500 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-2008 | 2016-09-01 |
| 1629404926 | Adrianna Alicia Raudes | Physician Assistant | 6 Aragon Ave, Coral Gables, FL 33134-5300 | 2013-09-18 |
| 1578718037 | Philip Joseph Depaola | Physician Assistant | 1235 Mariposa Ave, Apt 3, Coral Gables, FL 33146-3251 | 2008-11-25 |
| 1558312967 | Dayne Alonso | Physician Assistant | 5825 Sw 117th Street, Coral Gables, FL 33156 | 2006-05-12 |
| 1083242457 | Tatjana Velikopoljski | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2020-03-31 |
| 1548815848 | Niccolo Restivo | Physician Assistant | 1150 Campo Sano Ave, Coral Gables, FL 33146-1174 | 2019-08-05 |
| 1710531231 | Stephanie Cernuto | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2019-08-01 |
| 1801355847 | Joseph Peter Brabham Jr. | Physician Assistant | 806 S Douglas Rd Ste 820, Coral Gables, FL 33134-2081 | 2019-03-19 |
| 1548761059 | Kristen G. Williams | Physician Assistant | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2018-02-21 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
Please comment or provide details below to improve the information on MRS. CHARLENE A WILSON.
| 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.