BETHANY M WILSON (NPI# 1023621323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023621323 |
| Entity Type | Individual |
| Full Name | BETHANY M WILSON |
| Credential | AAC |
| Practice Address |
1960 N Holy Names Ct Spokane WA 99224-5803 |
| Practice Telephone | 5099608632 |
| Mailing Telephone | 5099608632 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG61082852 | WA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588897722 | Bethany Wilson | Speech-Language Pathologist | 15284 Rte 28, Corsica, PA 15829-3704 | 2009-09-03 |
| 1275142184 | Bethany Wilson | Behavior Technician | 34 N Washington St, Ardmore, OK 73401-7013 | 2020-07-27 |
| 1477194439 | Bethany Wilson | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2019-10-01 |
| 1831664150 | Bethany Wilson | Counselor | 6901 S Pierce St, Ste 370, Littleton, CO 80128 | 2018-10-13 |
| 1790286532 | Bethany Ray Wilson | Peer Specialist | 217 Elm Tree Ln, Lexington, KY 40507-2117 | 2018-02-27 |
| 1477098556 | Bethany Mckinney Wilson | Nurse Practitioner | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2016-12-28 |
| 1417324278 | Bethany Wilson | Counselor | 7459 Burlington Pike, Florence, KY 41042-1553 | 2015-08-27 |
| Street Address |
1960 N HOLY NAMES CT |
| City | SPOKANE |
| State | WA |
| Zip Code | 99224-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841219235 | Theresa Adams | Social Worker | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2006-07-18 |
| 1689230401 | Carleigh Marie Cameron | Student in an Organized Health Care Education/Training Program | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2019-05-16 |
| 1295391332 | Victoria Kinner | Counselor | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2019-05-14 |
| 1376012260 | Thomas Edward Bisenius | Counselor | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2018-11-20 |
| 1437628773 | Angela Maccarrone | Student in an Organized Health Care Education/Training Program | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2018-11-15 |
| 1316436959 | Olivia Gonzales | Counselor | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2018-05-09 |
| 1124527502 | Cathlene Elizabeth Dunlap | Counselor | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2018-02-12 |
| 1477982601 | Clare Bear | Counselor | 1960 N Holy Names Ct, Spokane, WA 99224-5803 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| 1528535952 | Mailene Bianca Orozco | Counselor | 11919 Sprague Ave, Airway Heights, WA 99224 | 2018-10-24 |
| 1124519756 | Jai'lysa Hoskins | Counselor | 1700 S Assembly St, Spokane, WA 99224 | 2018-05-18 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1740690247 | Latah Creek Family Dentistry | Dentist | 4001 S Cheney-spokane Rd, Suite B, Spokane, WA 99224 | 2014-05-06 |
| 1265735609 | Kyle Ray Stewart | Massage Therapist | 10620 W12th #335, Spokane, WA 99224 | 2010-12-07 |
| 1285950311 | Katherine Elaine Bunze | Contractor | 809 S Assembly, Spokane, WA 99224 | 2010-04-14 |
| 1801370044 | Joseph Dickens | Social Worker | 1700 S Assembly St Ste 300, Spokane, WA 99224 | 2018-09-24 |
| 1598143489 | Megan Marie Kerby | Behavioral Analyst | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224 | 2015-05-11 |
| Find all providers in zip 99224 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785680 | Susan Thomas | Case Manager/Care Coordinator | 8727 W Highway 2, Spokane, WA 99224-9498 | 2020-03-19 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1518417302 | Jennifer S Pilkinton | Case Manager/Care Coordinator | 1713 W Tieton Ave, Spokane, WA 99208-5083 | 2016-10-05 |
| 1720533235 | Elizabeth A Thorland | Case Manager/Care Coordinator | 1917 E Sharp Ave, Spokane, WA 99202-2645 | 2016-08-25 |
| 1588007074 | Kimberlee Shannon Deuser | Case Manager/Care Coordinator | 59 E Queen Ave Ste 111, Spokane, WA 99207-1400 | 2013-04-15 |
| 1750980033 | Latia M Johnson | Case Manager/Care Coordinator | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2020-10-19 |
| 1073128658 | Jenifer Lee Zahn | Case Manager/Care Coordinator | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2020-09-10 |
| 1992318398 | Erin M Coffey | Case Manager/Care Coordinator | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2020-08-25 |
| 1518579622 | Melissa Kristine Zielstorf | Case Manager/Care Coordinator | 1960 N Holy Names Ct Fl 3, Spokane, WA 99224-5803 | 2020-08-19 |
| 1124652417 | Velincia Nicole Kacalek | Case Manager/Care Coordinator | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2020-02-26 |
| Find all providers in SPOKANE | ||||
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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.