DR. LISA DIANE WILSON (NPI# 1881878916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881878916 |
Entity Type | Individual |
Full Name | DR. LISA DIANE WILSON |
Credential | PSY.D. |
Practice Address |
21350 W 153rd St Olathe KS 66061-5413 |
Practice Telephone | 9133222400 |
Practice Fax Number | 9136215730 |
Mailing Telephone | 9133222400 |
Mailing Fax Number | 9136215730 |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
T-LP1703 | KS | Behavioral Health & Social 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 |
1720507163 | Lisa M Wilson | Massage Therapist | 19833 Road 124, Tulare, CA 93274-9597 | 2017-09-18 |
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 |
Street Address |
21350 W 153RD ST |
City | OLATHE |
State | KS |
Zip Code | 66061-5413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871517383 | Todd E Smith | Psychologist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2006-07-27 |
1568096287 | Kimberly Jo Vaughn | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2020-03-03 |
1760943435 | Anna N Cronenwett | Counselor | 21350 W 153rd St, Olathe, KS 66061-5413 | 2019-03-26 |
1922526060 | Gretchen Alix Lister | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2017-09-08 |
1821516634 | Melanie Carron Kulick | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2017-08-31 |
1588196570 | Wendy Sue Dodd | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2017-03-30 |
1659816817 | Stephanie Risinger | Marriage & Family Therapist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2016-12-27 |
1427590231 | Pamela Rose Adams | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2016-11-10 |
1205385374 | Alicia Dentler | Marriage & Family Therapist | 21350 W 153rd St, Olathe, KS 66061-5413 | 2016-09-29 |
1942659891 | Tina Lynn Caldwell | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2016-06-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
Find all providers in zip 66061 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225220858 | Leticia Ann Holub Taylor | Psychologist | 515 N Mur Len Rd, Olathe, KS 66062-1267 | 2007-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174097133 | Janine Kesterson-cravens | Psychologist | 8100 E 22nd St N # 1600, Wichita, KS 67226-2388 | 2019-01-14 |
1073978979 | Kari Struemph | Psychologist | 2106 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2015-12-18 |
1568655637 | Deidra Mcgie Johnson | Psychologist | 1102 S. Rouse, Pittsburg, KS 66762 | 2007-08-22 |
1760674808 | Eric Morrison Vernberg | Psychologist | 1000 Sunnyside Ave, Clinical Child Psychology Program, Lawrence, KS 66045-7555 | 2007-08-13 |
1649476094 | Stephen Robert Lassen | Psychologist | 3901 Rainbow Blvd # Ms -4004, Kansas City, KS 66160-0001 | 2007-06-22 |
1710033642 | Charles Anthony Krall | Psychologist | 426 W 14th St, Chanute, KS 66720-2878 | 2007-01-25 |
1952453573 | Nathan A Fawson | Psychologist | 304 N Jefferson, Iola, KS 66749 | 2007-01-16 |
1902465701 | Alison Kathleen Calkins-smith | Psychologist | 8800 W 75th St Ste 220, Shawnee Mission, KS 66204-4001 | 2019-06-06 |
1902306640 | Amy E Noser | Psychologist | 200 Maine St Ste A, Lawrence, KS 66044-1396 | 2018-02-20 |
1881103067 | Casey Anne Pederson | Psychologist | 200 Maine St, Lawrence, KS 66044-1368 | 2017-09-20 |
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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.