ANDRIA WILSON (NPI# 1013234350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013234350 |
| Entity Type | Individual |
| Full Name | ANDRIA WILSON |
| Practice Address |
6385 Stage Rd Ste 1 Bartlett TN 38134-3738 |
| Practice Telephone | 9013823888 |
| Practice Fax Number | 9013056902 |
| Mailing Telephone | 9013823888 |
| Mailing Fax Number | 9013056902 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4456 | TN | Behavioral Health & Social Service Providers |
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616004 | Andria Wilson | Physical Therapist | 11705 San Jose Blvd Ste 111, Jacksonville, FL 32223-1653 | 2020-07-14 |
| 1386003002 | Andria Wilson | Physical Therapy Assistant | 535 N Oak Ave, Pitman, NJ 08071-1025 | 2016-02-23 |
| Street Address |
6385 STAGE RD STE 1 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053873810 | John Rohleder | Counselor | 244 S Hickory Ave, Bartlett, IL 60103-4417 | 2019-04-02 |
| 1437621422 | Health and Healing Therapy LLC | Counselor | 850 W. Bartlett Rd, Ste 14c, Bartlett, IL 60103-4454 | 2019-01-01 |
| 1780018358 | Nora Gonzalez | Counselor | 250 S. Il Route 59, Bartlett, IL 60103-5185 | 2013-08-30 |
| 1881959310 | Paul Michael Berkes | Counselor | 3572 Sunrise Ln, Bartlett, TN 38133-2800 | 2012-07-10 |
| 1235325150 | Veronica Liggins | Counselor | 7410 Memphis Arlington Road, Bartlett, TN 38002 | 2007-09-25 |
| 1912126574 | Sherry Whatley Semrau | Counselor | 3806 Saint Philip Dr, Bartlett, TN 38133-0935 | 2007-04-24 |
| 1184747446 | Delores J. Walker | Counselor | 1172 Driftwood Ln, Bartlett, IL 60103-5873 | 2007-04-09 |
| 1659410538 | Ryan Dodge | Counselor | 7426 Memphis Arlington Rd, Bartlett, TN 38135-1908 | 2007-02-06 |
| 1710507637 | Ashley Anne Tawfik | Counselor | 6551 Stage Oaks Dr Ste 4, Bartlett, TN 38134-3895 | 2020-04-21 |
| 1295394740 | Christopher Vickers | Counselor | 2868 Summer Oaks Dr, Bartlett, TN 38134-2818 | 2019-06-09 |
| Find all providers in BARTLETT | ||||
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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.