JAN WILSON (NPI# 1639714959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639714959 |
| Entity Type | Individual |
| Full Name | JAN WILSON |
| Practice Address |
3640 9th St Nw Rochester MN 55901-6685 |
| Practice Telephone | 5074243234 |
| Mailing Telephone | 5074243234 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558489526 | Jan Wilson | Occupational Therapist | 555 E Clay St, El Paso, IL 61738-1508 | 2007-03-27 |
| 1326131103 | Jan Wilson | Counselor | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2006-10-02 |
| Street Address |
3640 9TH ST NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469104 | Steven Bingner | Psychologist | 3640 9th St Nw, Rochester, MN 55901-6685 | 2005-06-28 |
| 1326653700 | Anika Evers | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-09-11 |
| 1093320558 | Ashley Courneya | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-09-11 |
| 1326657990 | Kirstin Lahti | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-29 |
| 1700494093 | Caitlyn Thurber | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-22 |
| 1053929349 | Crystal Ebert | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-22 |
| 1871117663 | Tianna Hill | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-06-08 |
| 1275169682 | Emily Burt | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-03-17 |
| 1942836358 | John Crecca Jr. | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-03-17 |
| 1104452515 | Ana Hughes | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245514215 | Nena Michelle Forshee | Rehabilitation Practitioner | 76 Shadow Ln, Rochester, NY 14606-4360 | 2011-10-07 |
| 1326653700 | Anika Evers | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-09-11 |
| 1093320558 | Ashley Courneya | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-09-11 |
| 1326657990 | Kirstin Lahti | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-29 |
| 1700494093 | Caitlyn Thurber | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-22 |
| 1053929349 | Crystal Ebert | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-07-22 |
| 1871117663 | Tianna Hill | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-06-08 |
| 1275169682 | Emily Burt | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-03-17 |
| 1942836358 | John Crecca Jr. | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-03-17 |
| 1104452515 | Ana Hughes | Rehabilitation Practitioner | 3640 9th St Nw, Rochester, MN 55901-6685 | 2020-03-17 |
| Find all providers in ROCHESTER | ||||
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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.