STEPHANIE MARIE WILSON (NPI# 1972868677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972868677 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE WILSON |
| Practice Address |
14155 N 83rd Ave Peoria AZ 85381-5639 |
| Mailing Address |
26933 N 84th Ave Peoria AZ 85383-3890 |
| Practice Telephone | 6237732873 |
| Mailing Telephone | 7342559846 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP4549 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
TAP4549 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493184 | Stephanie Leigh Wilson | Registered Nurse | 1920 E Indian School Rd Apt 2062, Phoenix, AZ 85016-6078 | 2020-10-08 |
| 1366049819 | Stephanie Marie Cupples Wilson | Dietitian, Registered | 5401 Harborside Dr, Tampa, FL 33615-3664 | 2020-10-07 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1346865888 | Stephanie Wilson | Licensed Practical Nurse | 2701 Cumberland Rd, Odessa, TX 79762-6913 | 2020-06-10 |
| 1558992057 | Stephanie R Wilson | Occupational Therapy Assistant | 5308 Wapakonata Trl Sw, Oxford, GA 30054-3335 | 2020-02-03 |
| 1063915528 | Stephanie Wilson | Case Manager/Care Coordinator | 20 Olive St Ste 311, Akron, OH 44310-3189 | 2018-03-12 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1306394432 | Stephanie Devon Wilson | Social Worker | 1933 Purple Dr, Fayetteville, NC 28314-8494 | 2016-09-19 |
| 1194187369 | Stephanie Baisa Wilson | Marriage & Family Therapist | 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 | 2016-03-25 |
| 1497143317 | Stephanie Wilson | Massage Therapist | 1790 32 Nd Ave South Suite 1a, Fargo, ND 58104 | 2014-12-30 |
| Street Address |
14155 N 83RD AVE |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600884 | North Valley Dermatology LLC | Dermatology | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5639 | 2005-12-15 |
| 1134753312 | Terri L Payne | Nurse Practitioner | 14155 N 83rd Ave, Peoria, AZ 85381-5639 | 2020-02-27 |
| 1932608106 | Star Clinic LLC | Anesthesiology | 14155 N 83rd Ave, Building 6, Peoria, AZ 85381 | 2018-02-02 |
| 1770034597 | Francesca Baile | Nurse Practitioner | 14155 N 83rd Ave, Ste 127, Peoria, AZ 85381-5639 | 2016-10-17 |
| 1518347285 | Christina Celestino | Nurse Practitioner | 14155 N 83rd Ave, Ste 127, Peoria, AZ 85381-5639 | 2015-06-08 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1235559600 | Sara Lindebak | Nurse Practitioner | 14155 N 83rd Ave, Ste # 127, Peoria, AZ 85381-5639 | 2014-04-23 |
| 1144667411 | Michael Thomas Morgan | Physical Therapist | 14155 N 83rd Ave, #148, Peoria, AZ 85381-5639 | 2013-05-28 |
| 1609127398 | Eryn Leigh Berry | Registered Nurse | 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381-5639 | 2012-09-21 |
| 1538440367 | Phoenix Eye Institute Pllc | Ophthalmology | 14155 N 83rd Ave, Suite 104, Peoria, AZ 85381-5639 | 2011-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
| 1225501406 | Renae Springer | Nurse Practitioner | 736 Sw Washington St, Peoria, IL 61602-1665 | 2019-01-09 |
| 1962959346 | Paulina Simon | Nurse Practitioner | 14074 N 90th Dr, Peoria, AZ 85381-3678 | 2016-09-02 |
| 1952630311 | Laura Lynn Lefever | Nurse Practitioner | Honorhealth Medical Group West Thunderbird Road, 9191 W. Thunderbird Road Suite D-105, Peoria, AZ 85381 | 2009-12-15 |
| 1356404016 | Miao-ling Manns | Nurse Practitioner | 10315 W Robin Ln, Peoria, AZ 85383-2119 | 2006-12-17 |
| 1174508162 | Wayne A Weissinger | Nurse Practitioner | 13943 N 91st Ave, #h-101, Peoria, AZ 85381-3629 | 2005-12-13 |
| 1366444580 | Teresa L King | Nurse Practitioner | 9240 W Union Hills Dr Ste 100, Peoria, AZ 85382-8213 | 2005-06-01 |
| 1821444894 | Chp Care, PC | Nurse Practitioner | 25812 N 67th Dr, Peoria, AZ 85383-7135 | 2016-05-10 |
| 1053725879 | Jennifer Louise Simpson | Nurse Practitioner | 6818 W Thunderbird Rd, Peoria, AZ 85381-5025 | 2014-06-19 |
| 1609289743 | Jennifer Lynn Jacobs | Nurse Practitioner | 13128 N 94th Dr Ste 100, Peoria, AZ 85381-4252 | 2014-06-06 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on STEPHANIE MARIE 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.