KIA DANIELLE WILSON (NPI# 1033732912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033732912 |
| Entity Type | Individual |
| Full Name | KIA DANIELLE WILSON |
| Credential | LPN |
| Practice Address |
2449 Golf Rd Philadelphia PA 19131-1475 |
| Mailing Address |
747 N 40th St Philadelphia PA 19104-1671 |
| Practice Telephone | 3059257731 |
| Mailing Telephone | 2152057628 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN278043 | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699208165 | Kia Wilson | Counselor | 739 Thimble Shoals Blvd Ste 1011b, Newport News, VA 23606-3584 | 2017-04-11 |
| 1083128730 | Kia Wilson | Orthopaedic Surgery | 375 S Chipeta Way, Salt Lake City, UT 84108-1260 | 2017-11-16 |
| Street Address |
2449 GOLF RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407899404 | Joyce Monica Williams | Neuromusculoskeletal Medicine, Sports Medicine | 2449 Golf Rd, Suite 11, Philadelphia, PA 19131-1475 | 2006-06-14 |
| 1437500113 | Virtual Preventive Care Services | Home Health | 2449 Golf Rd, Philadelphia, PA 19131-1475 | 2016-06-24 |
| 1497124663 | Inger Colzie | Social Worker | 2449 Golf Rd, Philadelphia, PA 19131-1475 | 2015-09-17 |
| 1407150733 | Anointed One's Production | Day Training, Developmentally Disabled Services | 2449 Golf Rd, Suite 26, Philadelphia, PA 19131-1475 | 2010-12-30 |
| 1215092879 | Twenty First Century Healthcare Inc | Clinic/Center | 2449 Golf Rd, Suite 11, Philadelphia, PA 19131-1475 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1285246751 | Anisha Streeter | Licensed Practical Nurse | 152 Rosemar St, Philadelphia, PA 19120-1943 | 2020-08-17 |
| 1194333708 | Stella Boapiah | Licensed Practical Nurse | 8767 Cottage St, Philadelphia, PA 19136-2123 | 2020-07-20 |
| 1083222178 | France Dhaiti | Licensed Practical Nurse | 624 Adams Ave, Philadelphia, PA 19120-2112 | 2020-07-15 |
| 1831716810 | Elizabeth Nija Bates | Licensed Practical Nurse | 6020 N 19th St, Philadelphia, PA 19141-1316 | 2020-06-25 |
| 1730715947 | Danyelle Alston-johnson | Licensed Practical Nurse | 915 Flanders Rd, Philadelphia, PA 19151-3011 | 2020-03-19 |
| 1760018220 | Daneyah Boyer | Licensed Practical Nurse | 2015 W Godfrey Ave, Philadelphia, PA 19138-3035 | 2020-03-17 |
| 1326674805 | Deajah Burney-wright | Licensed Practical Nurse | 3146 N Hemberger St, Philadelphia, PA 19132-1432 | 2020-03-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on KIA DANIELLE WILSON.
| 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.