WANDA HILLIARD (NPI# 1942503834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942503834 |
| Entity Type | Individual |
| Full Name | WANDA HILLIARD |
| Credential | PMHNP-BC,APN |
| Practice Address |
30 Technology Dr Rocky Mount VA 24151-3008 |
| Mailing Address |
9813 Memorial Blvd Suite A Humble TX 77338-4274 |
| Practice Telephone | 5404830582 |
| Mailing Telephone | 2819133550 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024178774 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP119602 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
703524 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1749 Pine St, Abilene, TX 796013043 | 3256960600 | 3256763873 |
| 9813 Memorial Blvd, Suite A, Humble, TX 773384274 | 2819133550 |
| Street Address |
30 TECHNOLOGY DR |
| City | ROCKY MOUNT |
| State | VA |
| Zip Code | 24151-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346363 | Emily J Grantham | Social Worker | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2005-09-16 |
| 1437799657 | Charlotte Whitworth | Social Worker | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2020-01-15 |
| 1538705413 | Jeffrey Letchford | Social Worker | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2019-11-26 |
| 1780220715 | Kevin Ratliff | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2019-11-25 |
| 1124516133 | Melynda S Keatts | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2018-04-25 |
| 1548757230 | Monica A Flora | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2018-04-18 |
| 1669977385 | Ashley King | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2018-03-26 |
| 1639686413 | Felicia M Wingard | Social Worker | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2018-01-03 |
| 1225578743 | Robin L Fore-martin | Counselor | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2017-03-02 |
| 1548715097 | Angel Bousman | Social Worker | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2016-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093987 | Youth Connect of Virginia, Inc. | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151 | 2018-05-15 |
| 1568975696 | Kathleen Conway | Speech-Language Pathologist | 25 Bernard Road, Rocky Mount, VA 24151 | 2017-11-11 |
| 1639581960 | Kylie Morris | Family Medicine | 390 S Main St Ste 201, Rocky Mount, VA 24151 | 2014-05-21 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1760786115 | Rick H Orange | Pharmacist | 200 Parkside Ln, Rocky Mount, VA 24151 | 2010-12-28 |
| 1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
| 1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
| 1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
| 1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
| 1073611422 | Cathy Zoe Ford | Dentist | 490 S Main Street, Suite 201, Rocky Mount, VA 24151 | 2006-09-20 |
| Find all providers in zip 24151 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101774 | Adrienne Louise Emery-ramirez | Nurse Practitioner | 132 Foy Dr, Rocky Mount, NC 27804-2417 | 2020-07-16 |
| 1184963704 | Michelle D Highsmith | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2013-02-01 |
| 1750656120 | Cherity Gurganus | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2012-03-17 |
| 1023301124 | Thalia N Williams | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2011-05-23 |
| 1871722058 | Valerie Northrup | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2009-07-08 |
| 1063664274 | Matthew Parker Padgett | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2008-10-21 |
| 1164672382 | Tereon Nachon Adams | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 24151 |
Please comment or provide details below to improve the information on WANDA HILLIARD.
| 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.