DESHARA L WILSON (NPI# 1912514829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912514829 |
| Entity Type | Individual |
| Full Name | DESHARA L WILSON |
| Practice Address |
15303 Plantation Oaks Dr Apt 2 Tampa FL 33647-2147 |
| Practice Telephone | 8138020557 |
| Mailing Telephone | 8138020557 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA93749 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0557 | 0557 | 01 |
| DESHARA WILSON | 0557 | 01 |
| Street Address |
15303 PLANTATION OAKS DR APT 2 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747047 | Mindy Kurrus | Massage Therapist | 5004 S Macdill Ave Ste A, Tampa, FL 33611-3807 | 2020-10-14 |
| 1265049852 | Tori Ashworth | Massage Therapist | 13133 N 20th St Apt 101, Tampa, FL 33612-3728 | 2020-09-28 |
| 1215543863 | Trevia Nyree Daniels | Massage Therapist | 5212 Bon Vivant Dr Apt 38, Tampa, FL 33603-1842 | 2020-09-18 |
| 1053926220 | Ained Campos Calderon | Massage Therapist | 8310 Pat Blvd, Tampa, FL 33615-1840 | 2020-09-14 |
| 1215542063 | Garry Moore | Massage Therapist | 615 N Woodlynne Ave, Tampa, FL 33609-1555 | 2020-09-09 |
| 1104430081 | Carmen Maria Plasencia | Massage Therapist | 3314 W Woodlawn Ave, Tampa, FL 33607-6630 | 2020-09-08 |
| 1629682844 | Tamara Soto | Massage Therapist | 10101 Benbrook Ct, Tampa, FL 33615-2641 | 2020-09-04 |
| 1336753086 | Jessica Jalisia Palmer | Massage Therapist | 6013 N 39th St, Tampa, FL 33610-3730 | 2020-09-01 |
| 1891309407 | Anthony Martell Brown | Massage Therapist | 14352 N Dale Mabry Hwy, Tampa, FL 33618-2018 | 2020-09-01 |
| 1154944825 | Lissette Garcia-frontela | Massage Therapist | 5811 Memorial Hwy Ste 104, Tampa, FL 33615-5000 | 2020-05-28 |
| Find all providers in TAMPA | ||||
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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.