SHALA S WILSON (NPI# 1629074539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629074539 |
| Entity Type | Individual |
| Full Name | SHALA S WILSON |
| Credential | ARNP |
| Practice Address |
1110 Wilkinson Trce Bowling Green KY 42103-3402 |
| Mailing Address |
809 Mooreland Dr Bowling Green KY 42103-1596 |
| Practice Telephone | 2707963590 |
| Mailing Telephone | 2707826554 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2263P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1110 WILKINSON TRCE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619497997 | Nickolas Wayne Claise | Physical Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103 | 2017-06-27 |
| 1366810335 | Alexander Love | Physical Therapist | 1110 Wilkinson Trce, Suite 1, Bowling Green, KY 42103-3402 | 2015-09-08 |
| 1689042772 | Christopher Brice | Physical Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2015-09-08 |
| 1467708180 | Park Street Partners, L.l.p. | Clinic/Center | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2012-07-31 |
| 1871899237 | Alison K. Woodcock | Occupational Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2011-02-02 |
| 1164685426 | Kurtis D. Carter | Physical Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2008-07-08 |
| 1750559191 | Emily G. Davenport | Physical Therapist | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2008-02-20 |
| 1285818476 | Angel Pierce | Occupational Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2007-12-24 |
| 1912198235 | Jessica Elaine Perkinson | Occupational Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2007-08-05 |
| 1487865044 | William Kyle Clark | Physical Therapy Assistant | 1110 Wilkinson Trce, Bowling Green, KY 42103-3402 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590411 | Doreen Chieloka Onyekelu | Nurse Practitioner | 1507 Gleneagles Dr, Bowling Green, OH 43402-5226 | 2018-08-31 |
| 1275033953 | Kyla Byard | Nurse Practitioner | 615 7th Ave, Bowling Green, KY 42101 | 2018-02-19 |
| 1346776390 | Angela Clark | Nurse Practitioner | 523 Park St, Bowling Green, KY 42101-1765 | 2017-05-11 |
| 1780054452 | Melodye Gail Campbell | Nurse Practitioner | 1777 Ashley Cir, Bowling Green, KY 42104-3339 | 2015-10-06 |
| 1306154323 | Ashley Renee Parrigin | Nurse Practitioner | 615 7th Ave, Bowling Green, KY 42101 | 2010-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
| 1790396331 | Kelley Rachelle Mcgarvey | Nurse Practitioner | 8174 Mall Rd, Florence, KY 41042-1414 | 2020-08-16 |
| 1093339772 | Melony Jill Jaggers | Nurse Practitioner | 9798 Ky-259, Mcdaniels, KY 40152-7127 | 2020-05-29 |
| 1316569270 | Glenn Allen Argento | Nurse Practitioner | 10039 Braxton Dr, Union, KY 41091-7631 | 2020-05-14 |
| 1104455682 | Right Time Clinics, LLC | Nurse Practitioner | 715 Shaker Dr Ste 80, Lexington, KY 40504-3628 | 2020-04-06 |
| 1518517655 | Alternative Health Solutions LLC | Nurse Practitioner | 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 | 2019-09-19 |
| 1598239592 | Christina Leigh Barnett | Nurse Practitioner | 2337 Sir Barton Way, Lexington, KY 40509-2474 | 2019-01-14 |
| 1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
| 1831632355 | Dulce Amor Alcuino Davis | Nurse Practitioner | 1012 Weda Cir, Mayfield, KY 42066-3169 | 2016-12-01 |
| 1992157002 | Markitta A Brown | Nurse Practitioner | 134 Roy Jenkins Dr, Corbin, KY 40701-3913 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.