MISS BOBBIE RAYLENE WILSON (NPI# 1841825270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841825270 |
| Entity Type | Individual |
| Full Name | MISS BOBBIE RAYLENE WILSON |
| Credential | MSN, ARNP, FNP-C |
| Practice Address |
4222 22nd Ave S # 531292 St Petersburg FL 33711-3001 |
| Mailing Address |
Po Box 531292 St Petersburg FL 33747-1292 |
| Practice Telephone | 7204704600 |
| Mailing Telephone | 7204704600 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN9454720 | FL | Nursing Service Providers |
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN-81179 | HI | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11006391 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-2884 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4222 22ND AVE S # 531292 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857349 | Angelea N Koenig | Nurse Practitioner | 625 6th Ave S Ste 125, St Petersburg, FL 33701-4664 | 2020-09-24 |
| 1508479411 | Kendall Day Melendi | Nurse Practitioner | 6499 38th Ave N Ste B2, St Petersburg, FL 33710-1650 | 2020-08-28 |
| 1376160408 | Vicki Lynn Cory | Nurse Practitioner | 2315 7th St N, St Petersburg, FL 33704-3303 | 2020-07-06 |
| 1851917520 | Aushaunte F White | Nurse Practitioner | 6395 21st Way S, St Petersburg, FL 33712-5737 | 2020-06-18 |
| 1932730025 | Julio Gandarillas | Nurse Practitioner | 2062 Burlington Ave N, St Petersburg, FL 33713-8033 | 2020-01-28 |
| 1376182485 | Jermece Watts | Nurse Practitioner | 6101 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1141 | 2020-01-06 |
| 1619510864 | Tracie D Barber | Nurse Practitioner | 1049 27th Ave S, St Petersburg, FL 33705-3527 | 2019-10-21 |
| 1194367136 | Jessica Danielle Einwag Arnold | Nurse Practitioner | 1515 Eden Isle Blvd Ne Apt 32, St Petersburg, FL 33704-1718 | 2019-10-10 |
| 1588205678 | Lauren Bartkovsky | Nurse Practitioner | 10475 Gandy Blvd N Unit 1401, St Petersburg, FL 33702-2493 | 2019-10-01 |
| 1699337352 | Janae N Anderson | Nurse Practitioner | 1201 5th Ave N Ste 408, St Petersburg, FL 33705-1425 | 2019-07-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on MISS BOBBIE RAYLENE 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.