KAREN LOUISE WILSMAN (NPI# 1043608052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043608052 |
Entity Type | Individual |
Full Name | KAREN LOUISE WILSMAN |
Credential | AGNP |
Practice Address |
4135 S Power Rd Ste 113 Mesa AZ 85212-3625 |
Mailing Address |
4135 S Power Rd Ste 113 Mesa AZ 85212-3625 |
Practice Telephone | 4806262444 |
Practice Fax Number | 4094092987 |
Mailing Telephone | 4806262444 |
Mailing Fax Number | 4904092987 |
Enumeration Date | 2014-12-27 |
Last Update Date | 2020-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
TAP7525 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
TAP7525 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN169787 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 469208 | 05 | |
NPI | 1043608052 | 01 |
Street Address |
4135 S POWER RD STE 113 |
City | MESA |
State | AZ |
Zip Code | 85212-3625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689876252 | Douglas Milan Maready | Internal Medicine | 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 | 2007-06-05 |
1598235665 | Phoenix Addiction Recovery LLC | Clinic/Center | 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 | 2018-11-30 |
1528578515 | Bret L. Lopez | Internal Medicine | 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 | 2017-10-04 |
1255860342 | Doug Maready Md Pllc | Internal Medicine | 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 | 2017-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
Find all providers in zip 85212 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558986224 | Jodi E Bray | Nurse Practitioner | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2020-06-09 |
1023666146 | Nancy Fulmore | Nurse Practitioner | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 | 2019-09-02 |
1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
1467901769 | Ampili Umayamma | Nurse Practitioner | 5252 E Main St, Mesa, AZ 85205-8022 | 2016-09-27 |
1568823821 | Nicole Renee Mott | Nurse Practitioner | 455 E 4th Pl, Mesa, AZ 85203-7101 | 2016-03-15 |
1730579426 | Cynthia Devine | Nurse Practitioner | 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 | 2015-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
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1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
1760090427 | Debra Shannon Witthar | Nurse Practitioner | 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 | 2020-07-20 |
1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
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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.