SERENA BROOKE WILSON (NPI# 1881946259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881946259 |
| Entity Type | Individual |
| Full Name | SERENA BROOKE WILSON |
| Other Name | SERENA COMPTON |
| Credential | ARNP |
| Practice Address |
21 W Central Ave Miami OK 74354-6815 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 9185423900 |
| Practice Fax Number | 9185423928 |
| Mailing Telephone | 9185423900 |
| Mailing Fax Number | 9185423928 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
89085 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200468380C | 05 | |
| OK | 200461260A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091878 | Serena Renee Wilson | Specialist/Technologist | 23655 Novi Rd, Novi, MI 48375-5442 | 2018-01-11 |
| 1538695424 | Serena Wilson | Social Worker | 3125 Poplarwood Ct, Suite 103, Raleigh, NC 27604-1084 | 2017-05-11 |
| Street Address |
21 W CENTRAL AVE |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-6815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871987 | Larry L Walther | Physician Assistant | 21 W Central Ave, Miami, OK 74354-6815 | 2005-06-14 |
| 1992305627 | Baptist Healthcare of Oklahoma, LLC | Clinic/Center | 21 W Central Ave, Miami, OK 74354-6815 | 2020-10-30 |
| 1700323466 | Audrey Danielle Bosworth | Nurse Practitioner | 21 W Central Ave, Miami, OK 74354-6815 | 2017-01-19 |
| 1437530664 | Mindy Mcbrien | Nurse Practitioner | 21 W Central Ave, Miami, OK 74354 | 2015-06-12 |
| 1811189194 | Paul Konrad Fuhrmeister | Family Medicine | 21 W Central Ave, Miami, OK 74354-6815 | 2007-08-10 |
| 1669446225 | James Mark Osborn | Family Medicine | 21 W Central Ave, Miami, OK 74354-6815 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1912508193 | Tania Maria Franco | Nurse Practitioner | 848 Ne 81st St, Miami, FL 33138-4630 | 2020-11-04 |
| 1578164794 | Kathryn Elizabeth Watson | Nurse Practitioner | 8000 Sw 96th St, Miami, FL 33156-7422 | 2020-11-04 |
| 1316548811 | Fernando Andres Aguilera | Nurse Practitioner | 3100 Sw 62nd Ave # 124, Miami, FL 33155-3009 | 2020-11-03 |
| 1396346995 | Lauren Vine Redondo | Nurse Practitioner | 7648 Sw 105th Pl, Miami, FL 33173-2931 | 2020-11-02 |
| 1104426766 | Yosen Rodriguez Jimenez | Nurse Practitioner | 2380 Sw 131st Ct, Miami, FL 33175-1157 | 2020-10-31 |
| 1871193755 | Yolanda Justal | Nurse Practitioner | 325 Nw 108th Ter, Miami, FL 33168-3230 | 2020-10-29 |
| 1467051003 | Raiseline De La Caridad Casanova Mederos | Nurse Practitioner | 120 Nw 49th St, Miami, FL 33127-2109 | 2020-10-24 |
| 1518566132 | Mileydis Curbelo | Nurse Practitioner | 15285 Sw 88th Ter, Miami, FL 33196-1462 | 2020-10-23 |
| Find all providers in MIAMI | ||||
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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.