CHRISTINE I.M. WILSON (NPI# 1992867014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992867014 |
| Entity Type | Individual |
| Full Name | CHRISTINE I.M. WILSON |
| Credential | NP |
| Practice Address |
751 S Bascom Ave Pediatrics Dept San Jose CA 95128-2604 |
| Mailing Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4084978800 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN355746 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN355746 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081988 | Christine J. Wilson | Registered Nurse | 15007 Hartland St, Van Nuys, CA 91405-3714 | 2020-10-19 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1790337467 | Christine N Wilson | Home Health Aide | 6616 Flagstaff St, Hyattsville, MD 20785-4968 | 2019-07-12 |
| 1932767431 | Christine Wilson | Counselor | 4113 Grand Manor Ct Apt 405, Raleigh, NC 27612-7822 | 2019-05-31 |
| 1528580701 | Christine M Wilson | Registered Nurse | 2038 Russell St, Bellmore, NY 11710-3224 | 2017-07-10 |
| 1124402888 | Christine Wilson | Nurse Practitioner | 710 Regina Cir, Oakland, FL 34787-8961 | 2015-07-13 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| 1245511450 | Christine Anne Wilson | Licensed Practical Nurse | 704 Kuhenbeaker Rd, Long Pond, PA 18334-7974 | 2011-09-01 |
| 1437468097 | Christine Debra Wilson | Nurse Practitioner | 699 W Cocoa Beach Cswy Ste 601, Cocoa Beach, FL 32931-3562 | 2010-09-30 |
| 1861652265 | Christine Ann Wilson | Speech-Language Pathologist | 5383 Primrose Lake Cir Ste B, Tampa, FL 33647-3520 | 2008-06-10 |
| Street Address |
751 S BASCOM AVE PEDIATRICS DEPT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518151216 | Frances Susan Combe | Nurse Practitioner | 1855 Lucretia Ave Rm 112, San Jose, CA 95122-3730 | 2007-09-05 |
| 1588878177 | Ruth Koppel Rosenblum | Nurse Practitioner | 1521 Estelle Ave, San Jose, CA 95118-1325 | 2007-05-10 |
| 1043825235 | Kyla Rockland-miller | Nurse Practitioner | 2039 Forest Ave, San Jose, CA 95128-4817 | 2020-09-14 |
| 1821602541 | Holly Maureen Milligan | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2020-09-01 |
| 1184262305 | Mia Willingham Maclean Vernic | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2019-12-18 |
| 1568965069 | Kara Alita Ramos | Nurse Practitioner | 1835 Cunningham Ave, San Jose, CA 95122-1712 | 2018-03-12 |
| 1306365366 | Nicole Puanani Ines | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2017-09-11 |
| 1427596618 | Marina Kofman | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2017-02-07 |
| 1568909315 | Mary Le | Nurse Practitioner | 751 South Bascom Avenue, Nicu, San Jose, CA 95128-2604 | 2017-01-31 |
| 1144686056 | Jessica Lee West | Nurse Practitioner | 6840 Via Del Oro Ste 210, San Jose, CA 95119-1372 | 2016-01-07 |
| Find all providers in SAN JOSE | ||||
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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.