SUSAN WILSON (NPI# 1528410735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528410735 |
| Entity Type | Individual |
| Full Name | SUSAN WILSON |
| Credential | NP-C |
| Practice Address |
10 Sunnybrook Rd Raleigh NC 27610-1808 |
| Mailing Address |
4553 Birmingham Way Raleigh NC 27604-8406 |
| Practice Telephone | 9192504570 |
| Practice Fax Number | 9192504581 |
| Mailing Telephone | 9192504570 |
| Mailing Fax Number | 9192504581 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06161819 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891287306 | Susan Wilson | Technician | 11302 Sperry Stream Way, Bowie, MD 20720-3431 | 2018-05-31 |
| 1093202939 | Susan Faith Wilson | Counselor | 1555 Brae Moor Ln, Dunedin, FL 34698-3212 | 2018-04-17 |
| 1306358247 | Susan Wilson | Social Worker | 1931 Horton Rd Ste 3, Jackson, MI 49203-5599 | 2017-11-01 |
| 1780101857 | Susan C Wilson | Social Worker | 8135 Mount Vernon Rd., St. Lousiville, OH 43071 | 2017-08-29 |
| 1114466372 | Susan Kay Wilson | Social Worker | 919 Superior Dr, Huron, OH 44839-1454 | 2017-02-20 |
| 1831559111 | Susan Wilson | Case Manager/Care Coordinator | 24 Riverside Dr, Independence, VA 24348-3746 | 2016-03-01 |
| 1801284302 | Susan Lynn Wilson | Registered Nurse | 2988 Moyer Ave, Norton, OH 44203 | 2015-01-06 |
| 1558766105 | Susan Wilson | Social Worker | 318 Lake Marina Ave, 212, New Orleans, LA 70124-1600 | 2014-10-24 |
| 1366716854 | Susan Elizabeth Wilson | Midwife | 5410 Hill Crest St, Russellville, MO 65074-1213 | 2012-02-29 |
| 1477888261 | Susan Wilson | Licensed Practical Nurse | 17 E Haddon Ave, Oaklyn, NJ 08107-1308 | 2009-10-12 |
| Street Address |
10 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721710 | Robert Thomas Dodge | Nurse Practitioner | 10 Sunnybrook Rd, Clinic A, Raleigh, NC 27610-1808 | 2005-09-20 |
| 1982252086 | Mary Carr Allen | Physician Assistant | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2019-09-01 |
| 1689222044 | Allyson Lockwood Ishihara | Social Worker | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2019-08-29 |
| 1053975284 | Renee Buchser | Registered Nurse | 10 Sunnybrook Rd, Raleigh, NC 27610-1861 | 2019-04-23 |
| 1235609090 | Elizabeth Deanne Moore | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2018-12-04 |
| 1053804542 | Brittany Charlene Stofford | Dentist | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2018-06-11 |
| 1316394406 | Tabitha Alford | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2016-05-18 |
| 1982096228 | Sandra Painter | Social Worker | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2015-02-24 |
| 1467840702 | Meghan Malka | Dietitian, Registered | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2015-01-08 |
| 1114315454 | Mary Elizabeth Collins | Dietitian, Registered | 10 Sunnybrook Rd, #316-c, Raleigh, NC 27610-1808 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1710598644 | Nicole Dora Licato | Nurse Practitioner | 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 | 2020-08-13 |
| 1316561178 | Mintoria Lynette Stockton | Nurse Practitioner | 8332 Mcguire Dr, Raleigh, NC 27616-5682 | 2020-06-07 |
| 1700407103 | Sadonna Marlene Sawyer | Nurse Practitioner | 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 | 2020-04-27 |
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1265065015 | Shubham Tyagi | Nurse Practitioner | Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 | 2020-02-20 |
| 1073163812 | Taylor Brooke Lawrence | Nurse Practitioner | 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 | 2019-09-13 |
| 1811456320 | Elizabeth Campbell Mcgrath | Nurse Practitioner | 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 | 2019-03-14 |
| 1922578541 | Dorothy Nwizu | Nurse Practitioner | 608 Kavkaz St, Raleigh, NC 27610-3176 | 2018-11-26 |
| 1265900013 | Patricia-marie Edge Odom | Nurse Practitioner | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 | 2018-11-09 |
| Find all providers in RALEIGH | ||||
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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.