PHANITRA NICOLE WILSON (NPI# 1619592003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619592003 |
| Entity Type | Individual |
| Full Name | PHANITRA NICOLE WILSON |
| Credential | LPN |
| Practice Address |
2700 Eaton Rapids Rd Lot 184 Lansing MI 48911-6323 |
| Practice Telephone | 5175753129 |
| Mailing Telephone | 5175753129 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703120709 | MI | Nursing Service Providers |
| Street Address |
2700 EATON RAPIDS RD LOT 184 |
| City | LANSING |
| State | MI |
| Zip Code | 48911-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1093338212 | Yolanda Pope | Licensed Practical Nurse | 1125 Bement St, Lansing, MI 48912-1703 | 2020-05-21 |
| 1760029078 | Susan E Corner | Licensed Practical Nurse | 7407 Sandpiper Ln, Lansing, MI 48917-9555 | 2019-12-05 |
| 1235788423 | Shannon Miryah Parker | Licensed Practical Nurse | 820 Kenwood Ave, Lansing, MI 48910-3210 | 2019-09-10 |
| 1154888600 | Teresa Carol Briggs | Licensed Practical Nurse | 1301 W Ottawa St, Lansing, MI 48915-1733 | 2019-02-20 |
| 1518469436 | Emmanuel Eyong | Licensed Practical Nurse | 229 W Gier St, Lansing, MI 48906-2942 | 2018-03-07 |
| 1942731922 | Emmanuel Boutcheko | Licensed Practical Nurse | 17709 William St, Lansing, IL 60438-2063 | 2017-03-22 |
| 1720532401 | Amy Plesscher | Licensed Practical Nurse | 3804 Donald St, Lansing, MI 48910-4577 | 2016-08-10 |
| 1174971121 | Tammie Bozzo | Licensed Practical Nurse | 1116 Kelsey Ave, Lansing, MI 48910-2502 | 2016-06-01 |
| 1801279971 | Nicole Mares | Licensed Practical Nurse | 517 Brynford Ave, Lansing, MI 48917-2927 | 2015-07-07 |
| Find all providers in LANSING | ||||
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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.