DIANA WILSON (NPI# 1891890885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891890885 |
| Entity Type | Individual |
| Full Name | DIANA WILSON |
| Credential | MD |
| Practice Address |
111 Colchester Ave Burlington VT 05401 |
| Mailing Address |
76 High St Ste 300 Lewiston ME 04240-7649 |
| Practice Telephone | 8028475338 |
| Practice Fax Number | 2077955645 |
| Mailing Telephone | 2077955544 |
| Mailing Fax Number | 2077955645 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
042.0014136 | VT | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
016172 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845980 | Diana E. Wilson | Audiologist | 11 Vandebilt Park Dr, Asheville, NC 28803 | 2015-07-02 |
| 1730571902 | Diana Wilson | Behavioral Analyst | 5827 Perrier St, New Orleans, LA 70115-4333 | 2015-02-25 |
| 1578954673 | Diana Wilson | Marriage & Family Therapist | 550 Toyopa Dr, Pacific Palisades, CA 90272-4469 | 2015-02-10 |
| 1164833653 | Diana Wilson | Non-emergency Medical Transport (VAN) | 6551 Grand River Ave, Detroit, MI 48208-1125 | 2014-05-19 |
| 1528482114 | Diana Lee Wilson | Licensed Practical Nurse | 1170 Nadine Dr, Heath, OH 43056-9233 | 2014-02-18 |
| 1194146613 | Diana Leah Wilson | Dietitian, Registered | 301 Fayetteville St, 2910, Raleigh, NC 27601-1974 | 2013-12-31 |
| 1508137894 | Diana Lee Wilson | Nurse Practitioner | 550 Osborn Blvd Ste 1006, Sault Sainte Marie, MI 49783-1899 | 2012-01-19 |
| 1861521163 | Diana Wilson | Home Health Aide | 156 Navajo Dr, Sardinia, OH 45171-9245 | 2007-03-04 |
| 1962570259 | Diana Lynne Wilson | Marriage & Family Therapist | 611 Arthur St, Novato, CA 94947-4499 | 2006-12-02 |
| 1720159692 | Diana Lorraine Wilson | Obstetrics & Gynecology | 1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256 | 2006-11-13 |
| Street Address |
111 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548354 | Richard A. Boothby | Obstetrics & Gynecology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-06-16 |
| 1992304513 | Jennifer Smith Henry | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-23 |
| 1922606581 | Jessica Fischer | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-10-15 |
| 1922615855 | Emily R Pichler | Psychologist | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-09-24 |
| 1285257618 | Nadia Stefania Fletcher | Registered Nurse | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-05-20 |
| 1538781380 | Jeffrey Raymond Gonzalez | Pharmacist | 111 Colchester Ave, Mailstop 272ba1, Burlington, VT 05401 | 2020-05-15 |
| 1588292874 | Breshawn Best | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1528696853 | Nektarios Konstantinopoulos | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-31 |
| 1457989071 | Siddique Tanzeem Akram | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-30 |
| 1184252124 | Steven Direda II | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326477233 | Aasim Mohammed | Internal Medicine | 116 N Dodge St Ste 201, Burlington, WI 53105-1963 | 2013-11-01 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
| 1831205673 | Susan Patricia Dunning | Internal Medicine | 1 South Prospect Street, Arnold 2, Uvm Medical Center, Burlington, VT 05401 | 2006-08-22 |
| 1093737975 | Nova Medical Associates LLC | Internal Medicine | 2991 Crouse Ln, Burlington, NC 27215-8833 | 2006-07-23 |
| 1467433169 | Anil Khurana | Internal Medicine | 252 Mchenry St Ste 140, Burlington, WI 53105-1828 | 2005-11-09 |
| 1386085033 | Ramasubramanian Baalachandran | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-07-10 |
| 1710320056 | Marta Kokoszynska | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-04-16 |
| 1619230059 | Dhaval Thakkar | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2012-06-20 |
| 1336448778 | Jessica Badlam | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2011-03-24 |
| 1053545459 | Daniel Scott Fitelson | Internal Medicine | 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2009-05-13 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on DIANA 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.