CAROL ELLEN WILSON (NPI# 1558738641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558738641 |
| Entity Type | Individual |
| Full Name | CAROL ELLEN WILSON |
| Credential | RN, MSN |
| Practice Address |
713 Thrasher Ave Ne North Bend WA 98045-7919 |
| Practice Telephone | 4258880110 |
| Mailing Telephone | 4258880110 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
RN00086590 | WA | Behavioral Health & Social Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN00086590 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RN | RN00086590 | 01 |
| NATIONAL CERTIFICATION IN PSYCHIATRIC AND MENTAL HEALTH NURSING | 0216286 | 01 | |
| WA | MENTAL HEALTH PROFESSIONAL BY MENTAL HEALTH DIVISION OF WA STATE | WAC 3888650150 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487275137 | Carol Lynn Wilson | Registered Nurse | 1602 Mamye Jane Dr, Killeen, TX 76542-6154 | 2020-05-05 |
| 1861851529 | Carol Wilson | Nurse Practitioner | 2530 Sw Salzedo Ave, Port Saint Lucie, FL 34987-2244 | 2016-02-22 |
| 1922314897 | Carol R. Wilson | Social Worker | 19 Moses Brown St Apt 1l, Providence, RI 02906-4438 | 2010-08-29 |
| 1073830295 | Carol Dew Wilson | Social Worker | 1758 Potomac Dr, Fayetteville, NC 28304-3725 | 2010-04-28 |
| 1699862078 | Carol Wilson | Licensed Practical Nurse | 8796 N Paulettes Pl, Biloxi, MS 39532-7410 | 2006-10-06 |
| 1104892967 | Carol K Wilson | Advanced Practice Midwife | 920 South Oak Street, Iowa Falls, IA 50126-9506 | 2006-02-23 |
| 1306336235 | Carol J Wilson | Physical Therapist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-05-16 |
| 1891296018 | Carol Wilson | Nutritionist | 1805 S Bellaire St Ste 101, Denver, CO 80222-4309 | 2018-02-22 |
| 1518396738 | Carol Deann Wilson | Social Worker | 998 Crooked Hill Rd Bldg 82, West Brentwood, NY 11717-1019 | 2013-11-07 |
| 1942635974 | Carol Wilson | Counselor | 1159 Huffman Mill Rd, Burlington, NC 27215-8862 | 2013-09-10 |
| Street Address |
713 THRASHER AVE NE |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841284916 | Joanne Rutland | Registered Nurse | 1975 Mcpherson St, Suite 2, North Bend, OR 97459-3482 | 2005-09-06 |
| 1659608206 | Jeffrey Lee Clausen | Registered Nurse | 1975 Mcpherson St, Suite 2, North Bend, OR 97459-3482 | 2009-11-03 |
| 1912118670 | Ruth Anderson | Registered Nurse | 1975 Mcpherson St, Suite 2, North Bend, OR 97459-3482 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848561 | Heidi Lynnette Kangas | Registered Nurse | 1128 Broadway St, Longview, WA 98632-3831 | 2020-10-09 |
| 1184235418 | Afuthal Ndugwa Ssemakula | Registered Nurse | 614 Riverside Dr Apt B103, Wenatchee, WA 98801-6154 | 2020-08-11 |
| 1225671969 | Virginia Hadley | Registered Nurse | 3436 Mary Elder Rd Ne # E&t, Olympia, WA 98506-5050 | 2019-10-25 |
| 1114569464 | Diana Wilcox | Registered Nurse | 2011 Mottman Rd Sw, Tumwater, WA 98512-6218 | 2019-10-08 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1609351717 | Charlotte Gex Morgan | Registered Nurse | 57 W Main St Ste 260, Chehalis, WA 98532-4815 | 2018-09-25 |
| 1821571050 | Kimberlee Susan Long | Registered Nurse | 4104 Puffin Rd, Ferndale, WA 98248-9579 | 2018-09-13 |
| 1235669607 | Bridget Lash | Registered Nurse | 4319 Tyler Way, Anacortes, WA 98221-3215 | 2017-06-18 |
| 1174072623 | Vicki Boothe | Registered Nurse | 26254 Ne Barrett Rd, Kingston, WA 98346-9342 | 2016-09-26 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
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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.