DR. ALICIA MARIE WILSON (NPI# 1831616853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831616853 |
Entity Type | Individual |
Full Name | DR. ALICIA MARIE WILSON |
Credential | DMSC, PA-C |
Practice Address |
201 Fci Ln Glenville WV 26351-9500 |
Mailing Address |
3966 Jesse Run Rd Jane Lew WV 26378-8230 |
Practice Telephone | 3046262505 |
Mailing Telephone | 3048842404 |
Enumeration Date | 2017-08-30 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699337485 | Alicia Marie Wilson | Occupational Therapist | 14707 Northville Rd Apt 423, Plymouth, MI 48170-6076 | 2019-07-02 |
1760857098 | Alicia N Wilson | Nurse Practitioner | 225 W Main St Unit B, Hillsboro, OH 45133 | 2015-12-11 |
1427446277 | Alicia Wilson | Technician, Other | 1330 River Bend Dr Ste 100, Dallas, TX 75247-4934 | 2015-01-02 |
1376964684 | Alicia Wilson | Dietitian, Registered | 8740 Roswell Rd Unit 10d, Sandy Springs, GA 30350-1831 | 2014-01-05 |
1417161290 | Alicia K Wilson | Home Health Aide | 1035 Country Rd 1, Apt 253, South Point, OH 45680 | 2007-05-10 |
1427683937 | Alicia Wilson | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-04 |
1497316301 | Alicia Verona Wilson | Nurse Practitioner | 880 Madison Ave, Memphis, TN 38103-3409 | 2019-06-23 |
1124587472 | Alicia Wilson | Social Worker | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2019-03-17 |
1194299347 | Alicia Ann Wilson | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2019-01-21 |
1295200665 | Alicia Wilson | Marriage & Family Therapist | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-10-11 |
Street Address |
201 FCI LN |
City | GLENVILLE |
State | WV |
Zip Code | 26351-9500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437145331 | Thomas Odell Duvall | Counselor | 201 Fci Ln, Glenville, WV 26351-9500 | 2005-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073059838 | Nineteenth Circuit Community Corrections Program | Community/Behavioral Health | 216 West Main Street, Grafton, WA 26351 | 2017-01-17 |
1578841896 | Tana Renee Kevak | Nurse Practitioner | 921 Mineral Rd Ste 101, Glenville, WV 26351 | 2011-08-03 |
1881710598 | June Julie Turner | Naturopath | 2607 Duck Run Road, Glenville, WV 26351 | 2007-03-22 |
1366479297 | Hilary Dawn Miller | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-27 |
1295770600 | Little Kanawha Family Medicine Pllc | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-19 |
1982707469 | Carl Edwin Nichols | Family Medicine | Gilmer County Urgent Care, 101 College Street, Glenville, WV 26351-0299 | 2006-09-07 |
1669548939 | John C Westfall | Dentist | 809 Mineral Rd, Glenville, WV 26351-0700 | 2006-11-28 |
1679560361 | Gilmer County Ambulance Service | Ambulance | 230 W Main St, Glenville, WV 26351-1051 | 2005-09-29 |
1154799294 | Lasa Bree Mencer | Massage Therapist | 106 E Main St, Glenville, WV 26351-1117 | 2015-09-06 |
1285677013 | Mark J Cinalli Od Faao Pllc | Optometrist | 307 Howard St, Glenville, WV 26351-1170 | 2006-06-13 |
Find all providers in zip 26351 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801892948 | James Allen Martin | Physician Assistant | 133 Saratoga Rd, Glenville, NY 12302-4108 | 2005-06-23 |
1538726229 | Samuel John Halajian | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4528 | 2019-05-29 |
1922467828 | Reemaben Patel | Physician Assistant | 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4211 | 2016-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
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.