CAITLIN J WILSON (NPI# 1023463890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023463890 |
| Entity Type | Individual |
| Full Name | CAITLIN J WILSON |
| Credential | PA-C |
| Practice Address |
1230 E Rusholme St Suite 150 Davenport IA 52803-2452 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4159 |
| Practice Telephone | 5634213990 |
| Practice Fax Number | 5634213999 |
| Mailing Telephone | 5633559200 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1131937 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396179727 | Caitlin Anne Wilson | Behavioral Analyst | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2013-08-21 |
| 1750944906 | Caitlin Wilson | Social Worker | 191 Bethpage Sweet Hollow Rd, Old Bethpage, NY 11804-1342 | 2019-04-15 |
| 1790278323 | Caitlin E Wilson | Nurse Practitioner | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2018-06-08 |
| 1306344692 | Caitlin Erin Wilson | Behavioral Analyst | 187 Half Mile Rd, North Haven, CT 06473-4121 | 2018-02-01 |
| 1386178424 | Caitlin Panter Wilson | Hospitalist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-04-15 |
| 1376080556 | Caitlin Elliott Wilson | Nurse Practitioner | 150 D St, Greer, SC 29651-6930 | 2017-01-25 |
| 1033527270 | Caitlin Rose Wilson | Physical Therapist | 13700 N Gayton Rd, Richmond, VA 23233-7017 | 2014-07-31 |
| 1194157149 | Caitlin Wilson | Physical Therapy Assistant | 409 Tyler Holmes Dr, Winona, MS 38967-1521 | 2013-08-01 |
| 1831539840 | Caitlin J Wilson | Pharmacist | 1504 Taub Loop, Houston, TX 77030-1608 | 2013-07-05 |
| 1306193719 | Caitlin Clare Wilson | Physical Therapist | 1219 W Roosevelt Rd, Maywood, IL 60153-4046 | 2012-08-06 |
| Street Address |
1230 E RUSHOLME ST SUITE 150 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902339 | Nancy J Agnew | Nurse Practitioner | 1230 E Rusholme St, Ste 301, Davenport, IA 52803-2400 | 2005-06-14 |
| 1770971038 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2452 | 2015-01-08 |
| 1912281940 | Child Protection Response Center | Pediatrics | 1230 E Rusholme St, Mob2, Lower Level, Suite 1, Davenport, IA 52803-2452 | 2011-10-10 |
| 1154643260 | France B Many | Nurse Practitioner | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2010-02-17 |
| 1194957449 | Jody J Kealey | Dietitian, Registered | 1230 E Rusholme St, Suite 305, Davenport, IA 52803-2452 | 2009-08-20 |
| 1952567794 | Quad Cities Retina Consultants | Ophthalmology | 1230 E Rusholme St, Suite 107, Davenport, IA 52803-2400 | 2008-07-31 |
| 1518124841 | Amanda L Bailey | Optometrist | 1230 E Rusholme St, Ste 203, Davenport, IA 52803-2400 | 2008-05-22 |
| 1861508004 | Genesis Health System | Obstetrics & Gynecology | 1230 E Rusholme St, Davenport, IA 52803-2400 | 2006-08-21 |
| 1154357416 | Internal Medicine Associates Prof Corp | Internal Medicine | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2006-06-25 |
| 1982654349 | Barbara Ann Harre | Pediatrics | 1230 E Rusholme St, Bldg. 2 Ll 01, Davenport, IA 52803-2400 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1598229262 | Katherine E. Asprey | Physician Assistant | 1800 E 54th St Ste B, Davenport, IA 52807-2852 | 2019-01-28 |
| 1588177182 | Kelsey Alexandra Schaeffer | Physician Assistant | 2302 North Blvd W Ste A, Davenport, FL 33837-8923 | 2017-11-06 |
| 1467907360 | Melina Norberto | Physician Assistant | 141 Webb Dr Ste 300, Davenport, FL 33837-3951 | 2016-08-20 |
| 1063815017 | Carissa L Pardekooper | Physician Assistant | 1800 E. 54th Street, Ste B, Davenport, IA 52807-2763 | 2014-10-06 |
| 1548661457 | Malwina Huzarska | Physician Assistant | 127 Oak Promenade Ct, Davenport, FL 33896-8163 | 2014-09-10 |
| 1871934851 | Benjamin J Kolner | Physician Assistant | 3385 Dexter Ct Ste 103, Davenport, IA 52807-3471 | 2013-07-08 |
| 1528303799 | Kajalben Patel | Physician Assistant | 2209 North Blvd W, Davenport, FL 33837-8903 | 2012-11-29 |
| 1710959622 | Jose Luis Lizardi | Physician Assistant | 306 Hollingshead Loop, Davenport, FL 33896-7829 | 2006-02-03 |
| Find all providers in DAVENPORT | ||||
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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.