LISA M WILSON (NPI# 1720507163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720507163 |
| Entity Type | Individual |
| Full Name | LISA M WILSON |
| Practice Address |
19833 Road 124 Tulare CA 93274-9597 |
| Practice Telephone | (559) 361-5274 |
| Mailing Telephone | 5593615274 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1386282358 | Lisa May Wilson | Registered Nurse | 563 Landings Blvd, Ann Arbor, MI 48103-2715 | 2019-12-20 |
| 1639535545 | Lisa Wilson | Social Worker | 12004 Lansdowne Rd, Austin, TX 78754-5873 | 2016-01-07 |
| 1073809018 | Lisa Zobrist Wilson | Nurse Practitioner | 10844 Thistlewood Dr, Baton Rouge, LA 70810-2921 | 2011-06-28 |
| 1215178777 | Lisa Wilson | Counselor | 4826 5th St Nw, Washington, DC 20011-6107 | 2009-03-13 |
| 1235386699 | Lisa Elaine Wilson | Counselor | 1052 Gardner Rd Ste 700, Charleston, SC 29407-5702 | 2008-08-27 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1295918076 | Lisa Ann Wilson | Anesthesiology | 304 S Jones Blvd, Las Vegas, NV 89107-2623 | 2007-12-14 |
| 1518175629 | Lisa Dawn Wilson | Occupational Therapist | 550 Thornton Pkwy Unit 110, Thornton, CO 80229-2166 | 2007-05-21 |
| 1750598173 | Lisa Renee Wilson | Occupational Therapy Assistant | 7413 Pierce Pl, Merrillville Bra, IN 46410-4679 | 2007-05-16 |
| Street Address |
19833 ROAD 124 |
| City | TULARE |
| State | CA |
| Zip Code | 93274-9597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545502 | Patricia A Akins | Technician | 212 E Gannon Drive, Tulare, CA 93274 | 2019-08-27 |
| 1851956312 | Britney Ann Graham | Behavior Technician | 160 N L St, Tulare, Ca 93274, Tulare, CA 93274 | 2019-05-09 |
| 1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
| 1396230710 | Claudia Azucena Gomez | Specialist/Technologist | 6165 Avenue 240, Tulare, CA 93274 | 2018-06-27 |
| 1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
| 1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
| 1598195059 | Antoinette Gutierrez | Counselor | 724 N. Ben Maddox Way, Visalia, CA 93274 | 2013-11-20 |
| 1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
| 1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
| 1346507985 | David Augustine Castro | Counselor | 209 North N Street, Tulare, CA 93274 | 2012-04-20 |
| Find all providers in zip 93274 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| 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.