KIM WILSON (NPI# 1033584966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033584966 |
| Entity Type | Individual |
| Full Name | KIM WILSON |
| Practice Address |
25 Gap Rd Batesville AR 72501-8679 |
| Practice Telephone | 8707938900 |
| Mailing Telephone | 8707938900 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725365 | Kim Marie Wilson | Registered Nurse | 211 201st Ave Ne, Snohomish, WA 98290-9613 | 2018-06-30 |
| 1639583669 | Kim Wilson | Home Health | 136 Field Pine Ave, Hopkins, SC 29061-9501 | 2014-06-18 |
| 1073532438 | Kim Yvette Wilson | Pharmacist | 3800 Fletcher Ave, Suite 133, Tampa, FL 33613 | 2006-07-18 |
| 1134169311 | Kim Dittis Wilson | Nurse Practitioner | 900 E Michigan Ave Ste 105, Jackson, MI 49201-2490 | 2006-06-07 |
| 1073982245 | Kim Wilson | Physician Assistant | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2015-09-17 |
| 1134398126 | Kim Yung Wilson | Occupational Therapist | 14701 Cecil Dr, Little Rock, AR 72223-1913 | 2008-02-25 |
| 1639383474 | Kim Marie Wilson | Nurse Practitioner | 3400 Spruce St, 4 Dulles Building, Philadelphia, PA 19104-4206 | 2007-05-10 |
| 1821215781 | Kim Badell Wilson | Dentist | 288 Northwood Ave, Jasper, IN 47546-1212 | 2007-04-19 |
| 1124194006 | Kim A Wilson | Pediatrics | 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 | 2006-11-24 |
| 1457468928 | Kim Wilson | Radiology | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-08-23 |
| Street Address |
25 GAP RD |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-8679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119082 | Billy Engles | Counselor | 25 Gap Rd, Batesville, AR 72501-8679 | 2006-01-18 |
| 1740782416 | Mechelle Hill | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2018-03-08 |
| 1912409921 | Amber Fortune | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2018-03-06 |
| 1679087068 | Sydney Archuleta | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-11-22 |
| 1124532510 | Evan Rodgers | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-11-22 |
| 1497274195 | Kristie Baker | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-09-13 |
| 1205359809 | Jolene Biddle | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-25 |
| 1679096614 | Teresa Kellar | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-21 |
| 1669994885 | Shana Flenoy | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-10 |
| 1033631254 | Sylvia Davis | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1013491406 | Whitney Stone | Counselor | 1355 E Main St # B, Batesville, AR 72501-3159 | 2018-09-20 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1295800720 | Melanie Hooper | Counselor | 2199 Harrison St, Batesville, AR 72501-7416 | 2006-11-21 |
| 1710518832 | Shavonne Lynett Thigpen | Counselor | 156 Highway 51 N, Batesville, MS 38606-2348 | 2020-01-28 |
| 1760028468 | Chantellus Adams | Counselor | 156 Highway 51 N, Batesville, MS 38606-2348 | 2019-11-18 |
| 1245874114 | April Frazier | Counselor | 2230 Harrison St, Batesville, AR 72501-7417 | 2019-11-04 |
| 1194383760 | Karnisha Young | Counselor | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2019-05-30 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.