MR. NOAH JEFFREY ALLEN WILSON (NPI# 1053937623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053937623 |
| Entity Type | Individual |
| Full Name | MR. NOAH JEFFREY ALLEN WILSON |
| Credential | SUDPT |
| Practice Address |
2280 Sr 821 Yakima WA 98901 |
| Mailing Address |
Po Box 217 Yakima WA 98942 |
| Practice Telephone | 5094570990 |
| Practice Fax Number | 5094544548 |
| Mailing Telephone | 5094570990 |
| Mailing Fax Number | 5094544548 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
60950596 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033600523 | Noah Andrew Wilson | Specialist/Technologist | 1971 University Bld, Lynchburg, VA 24515-0001 | 2018-05-21 |
| 1306920517 | Noah R. Wilson IIi | Dentist | 767 West Street, Pittsboro, NC 27312 | 2006-10-24 |
| 1073958682 | Noah Alexander Wilson | Student in an Organized Health Care Education/Training Program | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2013-05-08 |
| Street Address |
2280 SR 821 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987077 | Alicia M Egan | Counselor | 2280 Sr 821, Yakima, WA 98901 | 2007-11-30 |
| 1932726866 | Chantee Monique Baldwin | Counselor | 2280 Sr 821, Yakima, WA 98901 | 2020-06-26 |
| 1417519752 | Jessica Barnett | Counselor | 2280 Sr 821, Yakima, WA 98901 | 2019-07-08 |
| 1376010975 | Chloe Louis-jemeica Guster | Counselor | 2280 Sr 821, Yakima, WA 98901 | 2018-11-01 |
| 1588142491 | Sarah Marie Mccauley | Counselor | 2280 Sr 821, Yakima, WA 98901 | 2018-08-02 |
| 1205314119 | Treva Ruth Harmon | Counselor | 2280 Sr 821, Yakima, WA 98901-0217 | 2018-08-02 |
| 1114405024 | Jered James Carter | Counselor | 2280 Sr 821, Yakima, WA 98901 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162998 | China Nwachukwu | Pharmacist | Buter-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2020-07-30 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1386129021 | John Scott | Student in an Organized Health Care Education/Training Program | Pacific Northwest University of Health Sciences, 111 University Parkway, Suite 202, Yakima, WA 98901 | 2018-09-28 |
| 1679051387 | Toni Christine Fogli | Counselor | 2280 Ste. Rte. 821, Yakima, WA 98901 | 2018-08-03 |
| 1043798267 | Amber Ann Couture | Counselor | 2280 Wa-821, Yakima, WA 98901 | 2018-07-31 |
| 1992201982 | Etienne Galbreath | Student in an Organized Health Care Education/Training Program | Butler-haney Hall, 200 University Pkwy, Yakima, WA 98901 | 2018-03-30 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1366970048 | Jose Antonio Mendoza | Dentist | 12 S 8t Hst, Yakima, WA 98901 | 2017-05-25 |
| 1982156501 | David Burkett | Counselor | 315 N. 2nd Street, Yakima, WA 98901 | 2016-10-31 |
| Find all providers in zip 98901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918765 | Theresa A Hoisington-yanez | Counselor | 421 S 43rd St, Yakima, WA 98901-1504 | 2020-09-25 |
| 1699391573 | Guadalupe V Bazan Jr. | Counselor | 609 W Logan Ave, Yakima, WA 98902-5553 | 2020-06-17 |
| 1063977692 | Diana Lane Dewey | Counselor | 102 N 48th Ave, Yakima, WA 98908-3134 | 2019-02-07 |
| 1053875625 | Amanda Rose Rodriguez | Counselor | 1410 W Prasch Ave, Yakima, WA 98902-5377 | 2019-01-28 |
| 1720558711 | William Blair Ellis Jr. | Counselor | 611 W A St, Yakima, WA 98902-2605 | 2018-12-03 |
| 1427526524 | Tammy A. Kinter | Counselor | 7610 W Nob Hill Blvd Unit 231, Yakima, WA 98908-1942 | 2018-11-06 |
| 1760959290 | Conswaylo Ann Fleek | Counselor | 120 S. 3rd Ave., Yakima, WA 98901 | 2018-11-02 |
| 1366919359 | Laura Ann Johnston | Counselor | 605 Superior Ln, Yakima, WA 98902-1623 | 2018-10-27 |
| 1396212718 | Nancy Fraser | Counselor | 120 S. 3rd Street, Yakima, WA 98901 | 2018-10-24 |
| 1265916837 | Jasmine Nathaley Barrera-ledezma | Counselor | 2000 W Lincoln Ave Apt 19, Yakima, WA 98902-2477 | 2018-09-19 |
| Find all providers in YAKIMA | ||||
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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.