MISS REBAKAH LYNNLEE WILSON (NPI# 1750889929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750889929 |
| Entity Type | Individual |
| Full Name | MISS REBAKAH LYNNLEE WILSON |
| Other Name | BECKY L WILSON |
| Credential | CPNP - PC/AC |
| Practice Address |
118 Fairfield Dr New Albany MS 38652-3107 |
| Practice Telephone | 6625340898 |
| Practice Fax Number | 6625348905 |
| Mailing Telephone | 6625340898 |
| Mailing Fax Number | 6625348905 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
902310 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
118 FAIRFIELD DR |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203286 | Eric David Harding | Internal Medicine | 118 Fairfield Dr, Internal Medicine and Pediatric Clinic of New Albany, New Albany, MS 38652 | 2005-05-31 |
| 1467000927 | Specialty Orthopedic Group of Ms, Pllc | Orthopaedic Surgery | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2019-08-28 |
| 1053887208 | Robert Steele Iv | Physician Assistant | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2018-10-15 |
| 1760928097 | Jamie Elizabeth Robinson | Nurse Practitioner | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2017-01-10 |
| 1073064820 | Kathleen E Minga | Family Medicine | 118 Fairfield Dr, New Albany, MS 38652 | 2016-10-17 |
| 1578959052 | Martha Paige Tomsic | Internal Medicine | 118 Fairfield Dr, New Albany, MS 38652-3107 | 2015-04-10 |
| 1669760609 | James Matthew Rhinewalt | Internal Medicine | 118 Fairfield Dr, New Albany, MS 38652 | 2011-07-12 |
| 1407167547 | Lauren S Simpson | Pediatrics | 118 Fairfield Dr, New Albany, MS 38652 | 2010-06-23 |
| 1497875876 | Terri L Pounders | Family Medicine | 118 Fairfield Dr, New Albany, MS 38652 | 2007-03-30 |
| 1275535551 | Michael Shane Scott | Internal Medicine | 118 Fairfield Dr, Internal Medicine and Pediatric Clinic of New Albany, New Albany, MS 38652 | 2005-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1528065760 | Eileen Long Keegan | Nurse Practitioner | 2305 Green Valley Rd, New Albany, IN 47150-4649 | 2005-07-01 |
| 1316421472 | Mary Catherine Oechslin | Nurse Practitioner | 2305 Green Valley Rd, New Albany, IN 47150-4691 | 2018-09-24 |
| 1265942460 | Sarah J Empson | Nurse Practitioner | 2305 Green Valley Rd, New Albany, IN 47150-4691 | 2017-10-03 |
| 1063960136 | Heidi Smith | Nurse Practitioner | 2305 Green Valley Rd, New Albany, IN 47150-4691 | 2016-09-16 |
| 1295010494 | Dianna Womer | Nurse Practitioner | 150 W Main St, Ste A, New Albany, OH 43054-9229 | 2011-10-19 |
| 1477851400 | Joanna Elizabeth Kreyling | Nurse Practitioner | 223 W Spring St, New Albany, IN 47150-3612 | 2011-02-28 |
| 1891925004 | Teresa A Renfrow | Nurse Practitioner | 1425 State St Ste 100, New Albany, IN 47150-4976 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on MISS REBAKAH LYNNLEE WILSON.
| 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.