KATHERINE S WILSON (NPI# 1689014961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689014961 |
| Entity Type | Individual |
| Full Name | KATHERINE S WILSON |
| Credential | ARNP |
| Practice Address |
1345 W Central Park Ave Davenport IA 52804-1844 |
| Mailing Address |
Po Box 4028 Rock Island IL 61204-4028 |
| Practice Telephone | 5634214400 |
| Practice Fax Number | 5634214445 |
| Mailing Telephone | 5633559200 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A134042 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245798487 | Katherine Denise Wilson | Speech-Language Pathologist | 1901 Tarboro St Sw Ste 301, Wilson, NC 27893-3479 | 2019-03-06 |
| 1437519907 | Katherine Elizabeth Wilson | Physical Therapist | 5372 B Old Virginia St, Urbanna, VA 23175 | 2016-02-26 |
| 1942620059 | Katherine Morgan Wilson | Pediatrics | 3399 East Grand River Ave, Suite 200, Howell, MI 48843-7555 | 2014-04-16 |
| 1134440613 | Katherine L. Wilson | Psychologist | 5750 Sunrise Blvd Ste 130-f, Citrus Heights, CA 95610-7634 | 2010-06-18 |
| 1831334226 | Katherine Wilson | Behavioral Analyst | 1404 Beverly Dr, Richmond, VA 23229-4802 | 2008-12-13 |
| 1184884520 | Katherine Jones Wilson | Speech-Language Pathologist | 8338 Blades Trl, Denver, NC 28037-9154 | 2008-06-10 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1750502159 | Katherine Dunn Wilson | Dentist | 74 State Rd Ste 102, Kittery, ME 03904-1562 | 2007-05-01 |
| 1811026099 | Katherine Wilson | Acupuncturist | 68 Paul Gore St, Jamaica Plain, MA 02130-1835 | 2007-03-05 |
| 1437246725 | Katherine De Koven Wilson | Marriage & Family Therapist | 1957 Pruneridge Avenue, Room 15, Santa Clara, CA 95050-6515 | 2006-10-06 |
| Street Address |
1345 W CENTRAL PARK AVE |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740361 | Andrew A Andresen | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2005-06-16 |
| 1790309508 | Jenna Sarantakos | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-08 |
| 1710501549 | Kubat Rahatbeck | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-08 |
| 1629692553 | Ronald Joseph White | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-06 |
| 1578187514 | Emily Ann Gudenkauf | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-06-05 |
| 1457974347 | Kyle Edward Carver | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-05-26 |
| 1184244584 | Mary Ann Defrance | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2020-04-26 |
| 1962061242 | Avigdor Gregory Asner | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-10 |
| 1205495736 | Alison Fraehlich | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-09 |
| 1649839465 | Swarna Latha Masala | Family Medicine | 1345 W Central Park Ave, Davenport, IA 52804-1844 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857222 | Caren R Nituda | Nurse Practitioner | 1051 Andalusia Loop, Davenport, FL 33837-1443 | 2020-10-05 |
| 1497360796 | Ashlee Elizabeth Winter | Nurse Practitioner | 1132 Elderberry Dr, Davenport, FL 33897-3853 | 2020-09-14 |
| 1932712080 | Ana Maria Delinski | Nurse Practitioner | 325 Nevada Loop Rd, Davenport, FL 33897-5611 | 2020-08-28 |
| 1508475369 | Kisha Kay Blunk | Nurse Practitioner | 5374 Eastern Ave Ste 100, Davenport, IA 52807-2719 | 2020-07-28 |
| 1184252447 | Jean Carlos Torres Davila | Nurse Practitioner | 296 Arbor Lakes Dr, Davenport, FL 33896-8167 | 2020-03-31 |
| 1760012835 | Angela Marie Escobar | Nurse Practitioner | 537 Westwind Dr, Davenport, FL 33896-6613 | 2020-01-17 |
| 1467091660 | Jennifer G Kirkland | Nurse Practitioner | 105 Park Place Blvd Ste A, Davenport, FL 33837-6870 | 2020-01-06 |
| 1831738483 | Jonathan Torres Pabon | Nurse Practitioner | 464 Sardinia Cir, Davenport, FL 33837-5863 | 2019-12-31 |
| 1477114460 | Christine Marie Pales | Nurse Practitioner | 2972 Bella Vista Dr, Davenport, FL 33897-3680 | 2019-06-21 |
| 1699235184 | Carol Laverne Anderson | Nurse Practitioner | 5229 Cortland Dr, Davenport, FL 33837-1763 | 2019-03-21 |
| Find all providers in DAVENPORT | ||||
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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.