MILDRED WILSON (NPI# 1891304598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891304598 |
| Entity Type | Individual |
| Full Name | MILDRED WILSON |
| Practice Address |
1745 N Nellis Blvd Ste A Las Vegas NV 89115-3673 |
| Practice Telephone | 7024597500 |
| Mailing Telephone | 7024597500 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205477320 | Mildred Joyce Wilson | Technician | 121 Mills St, Monroeville, AL 36460-8605 | 2019-09-30 |
| 1619375888 | Mildred Wilson | Registered Nurse | 2410 Mette Rd, Wentzville, MO 63385-2108 | 2014-12-19 |
| 1750507190 | Mildred E. Wilson | Counselor | 6848 Magnolia Ave Ste 200, Riverside, CA 92506-2858 | 2007-04-17 |
| 1396873931 | Mildred Jeanette Wilson | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2007-03-02 |
| 1720008378 | Mildred Thomas Wilson | Pharmacist | 499 Nw 70th Ave, Suite 120, Plantation, FL 33317-7500 | 2006-07-19 |
| Street Address |
1745 N NELLIS BLVD STE A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89115-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659846822 | Shindena Widby | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2018-10-03 |
| 1922605369 | Rosa Loweli-davalos | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-10-08 |
| 1982201422 | Angela L Jacobs | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-10-07 |
| 1811509615 | Rachelle Suttles | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-08-21 |
| 1033727359 | Verna Williams | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-07-22 |
| 1033730874 | Kendra Anderson-vincson | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-05-04 |
| 1003437930 | Lidia Trujillo | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-05-01 |
| 1922628692 | Minnie Lee Gentle | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-04-22 |
| 1578198263 | Kimberly Hall | Doula | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-03-03 |
| 1245863133 | Carolyn Roberts | Technician | 1745 N Nellis Blvd Ste A, Las Vegas, NV 89115-3673 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1316555097 | Alma Liz Cuello Gonzalez | Technician | 3735 Gulliver St, Las Vegas, NV 89115 | 2020-07-17 |
| 1689214397 | Reginald Powers | Technician | 3817 N Nellis Blvd, Apt 218, Las Vegas, NV 89115 | 2020-01-10 |
| 1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
| 1982249801 | Limitless Behavioral Services Health LLC | Community/Behavioral Health | 4370 E Craig Rd, Apt 2123, Las Vegas, NV 89115 | 2019-11-14 |
| 1033751102 | Patricia Rangel | Technician | 3125 North Pecos Rd Apt #112, Las Vegas, NV 89115 | 2019-10-10 |
| 1003388471 | Nikera Island | Technician | 9564 Nellis Blvd, Las Vegas, NV 89115 | 2018-12-26 |
| 1295218519 | Craig Duerson | Behavioral Analyst | 3624 Elegant Saint Ct, Las Vegas, NV 89115 | 2018-09-12 |
| 1043719750 | Mary Bernadette Mitchell | Technician | 3715 Hayward Field Rd, Las Vegas, NV 89115 | 2018-02-08 |
| 1689190563 | Brian D Rentie Jr. | Behavior Technician | 4730 E. Craig Rd #2160, Las Vegas, NV 89115 | 2017-08-22 |
| Find all providers in zip 89115 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| Find all providers in LAS VEGAS | ||||
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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.