SAMANTHA LA WILSON (NPI# 1568983252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568983252 |
| Entity Type | Individual |
| Full Name | SAMANTHA LA WILSON |
| Credential | CDPT |
| Practice Address |
28115 Se 451st St Enumclaw WA 98022-9204 |
| Mailing Address |
100 Wellness Way Neah Bay WA 98357 |
| Practice Telephone | 3606405312 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CO60757690 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013492701 | Samantha May Wilson | Nurse Practitioner | 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122-5567 | 2018-09-27 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1295170959 | Samantha Elizabeth Wilson | Massage Therapist | 2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 | 2013-05-07 |
| 1508465212 | Samantha S Wilson | Social Worker | 37 W 26th St, New York, NY 10010-1006 | 2020-10-22 |
| 1174145866 | Samantha Joan Wilson | Behavior Technician | 302 Railway Ave., Seward, AK 99664 | 2020-05-15 |
| 1740839216 | Samantha Stone Wilson | Speech-Language Pathologist | 6239 S East St Ste A, Indianapolis, IN 46227-2088 | 2019-09-08 |
| 1326607896 | Samantha Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-06-10 |
| 1164081915 | Samantha Wilson | Nurse Practitioner | 1133 21st St Nw Ste 200, Washington, DC 20036-3324 | 2019-06-06 |
| 1992282024 | Samantha Castillo Wilson | Physician Assistant | 2350 Limestone Pkwy, Gainesville, GA 30501-2013 | 2018-07-21 |
| 1386143063 | Samantha Kuenzli Wilson | Physical Therapist | 401 Lambert Rd, Biscoe, NC 27209-9002 | 2018-02-07 |
| Street Address |
28115 SE 451ST ST |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 98022-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
| Find all providers in zip 98022 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193219 | Stacy Perez | Counselor | 1335 Cole St, Enumclaw, WA 98022-2654 | 2019-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467564 | Summit Health Management Pllc | Counselor | 6625 Wagner Way Ste 320, Gig Harbor, WA 98335-8392 | 2020-11-05 |
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1457951311 | Jonathan B Hall | Counselor | 1107 Grant Ave, Port Angeles, WA 98362-2728 | 2020-10-29 |
| 1598365595 | Deepeka Taya | Counselor | 17123 120th Ln Se Apt S303, Renton, WA 98058-5992 | 2020-10-28 |
| 1447850904 | Bethany Baril | Counselor | 1800 112th Ave Ne Ste 150w, Bellevue, WA 98004-2993 | 2020-10-26 |
| 1588263032 | Mark Alan Jewett | Counselor | 528 208th Ave Ne, Sammamish, WA 98074-6936 | 2020-10-25 |
| 1184223869 | Season Silk | Counselor | 523 Rainier St, La Conner, WA 98257-4707 | 2020-10-22 |
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1548868276 | Mind Over Matters, Pllc | Counselor | 2525 55th Ave Ne, Tacoma, WA 98422-3404 | 2020-10-14 |
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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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.