DR. SHANE MICHAEL WILSON (NPI# 1982009569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982009569 |
| Entity Type | Individual |
| Full Name | DR. SHANE MICHAEL WILSON |
| Credential | D.C. |
| Practice Address |
938 Wrens Roost Cir 2 Memphis TN 38119-0510 |
| Practice Telephone | 2055444318 |
| Mailing Telephone | 2055444318 |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2014-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1368 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1063742138 | Shane Ray Wilson | Counselor | 2820 Weymouth Way, Norman, OK 73071-7269 | 2010-01-12 |
| 1902440035 | Shane Marcus Wilson | Physical Therapy Assistant | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-11-01 |
| 1437624236 | Shane David Wilson | Nurse Practitioner | 1249 15th St Ste 4000, Huntington, WV 25701-3663 | 2018-10-08 |
| 1477808467 | Shane Charles Wilson | Internal Medicine | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2012-07-17 |
| 1245548239 | Shane Wilson | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| 1336314392 | Shane Wilson | Counselor | 1470 W Herndon Ave, Suite 300, Fresno, CA 93711-0552 | 2008-04-29 |
| Street Address |
938 WRENS ROOST CIR 2 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-0510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992329569 | Berardi Enterprises | Chiropractor | 6450 Poplar Ave Ste 113, Memphis, TN 38119-4882 | 2020-05-30 |
| 1740832823 | Tennessee Spine and Joint Pllc | Chiropractor | 5154 Stage Rd Ste 101, Memphis, TN 38134-3118 | 2019-07-10 |
| 1831751122 | Ortman Chiropractic Pllc | Chiropractor | 2400 Poplar Ave Ste 211, Memphis, TN 38112-3209 | 2019-07-08 |
| 1821556242 | Chiro Place of Bartlett PC | Chiropractor | 2690 Kirby Whitten Rd, Memphis, TN 38133-4741 | 2019-03-05 |
| 1972061596 | Elite Medical Memphis | Chiropractor | 2400 Poplar Ave Ste 211a, Memphis, TN 38112-3209 | 2019-03-04 |
| 1811466279 | The Chiro Place of Midtown Pllc | Chiropractor | 3179 Poplar Ave, Memphis, TN 38111-3501 | 2018-11-15 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1518313980 | Chiro Memphis Dream Center | Chiropractor | 255 N Highland St, Memphis, TN 38111-4745 | 2016-05-04 |
| 1922479351 | Midtown Chiropractic | Chiropractor | 204 N Evergreen St, Memphis, TN 38112-5210 | 2015-10-12 |
| 1487068169 | Natural Chiropractic Pllc | Chiropractor | 6157 Poplar Ave, Memphis, TN 38119-4741 | 2014-06-20 |
| Find all providers in MEMPHIS | ||||
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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.