TERRY L WILSON (NPI# 1073609442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073609442 |
| Entity Type | Individual |
| Full Name | TERRY L WILSON |
| Credential | PA-C |
| Practice Address |
1707 Cooks Hill Rd Centralia WA 98531 |
| Mailing Address |
P O Box 1267 Chehalis WA 98532 |
| Practice Telephone | 3607361965 |
| Practice Fax Number | 3607404170 |
| Mailing Telephone | 3607361965 |
| Mailing Fax Number | 3607404170 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10000075 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0134911 | 01 |
| WA | REGENCE | 9112WI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013320555 | Terry James Wilson | Licensed Vocational Nurse | 12118 Walnut Park Xing, 1212, Austin, TX 78753-6706 | 2014-06-03 |
| 1508027558 | Terry Wilson | Massage Therapist | 641 W 119th St, Chicago, IL 60628 | 2008-06-23 |
| 1386852143 | Terry Lamont Wilson | Counselor | 3741 Stocker St Ste 210, Los Angeles, CA 90008-5109 | 2007-05-17 |
| 1124246475 | Terry Dwayne Wilson | Counselor | 3423 Melrose Rd # A, Fayetteville, NC 28304-1608 | 2007-04-23 |
| 1184611832 | Terry M Wilson | Social Worker | 211 Forest Cir, Goldsboro, NC 27530-9008 | 2005-09-28 |
| 1063056729 | Terry Dee Ann Wilson | Case Manager/Care Coordinator | 111 S Treaty Rd, Miami, OK 74354-5327 | 2019-11-05 |
| 1205498433 | Terry Shawn Wilson | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-09 |
| 1558559690 | Terry Wayne Wilson | Chiropractor | 24835 La Palma Ave Ste D, Yorba Linda, CA 92887-5532 | 2007-10-12 |
| 1174671853 | Terry Lee Wilson | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| 1235188301 | Terry Roger Wilson | Occupational Therapist | 920 Oliver Rd, Monroe, LA 71201-5702 | 2006-05-08 |
| Street Address |
1707 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792242 | Guito Wingfield | Internal Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-17 |
| 1598365868 | Chala Gray | Counselor | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-27 |
| 1376141374 | Karl Beall | Recreation Therapist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-10-12 |
| 1780206409 | Justin Wimpress | Peer Specialist | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-05-15 |
| 1962664003 | L G Steck Memorial Clinic P S | Clinic/Center | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2008-06-30 |
| 1841309465 | Christine G Pfeiffer | Physician Assistant | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-08-29 |
| 1306867700 | Wanda Jimenez | Family Medicine | 1707 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392245 | Karen Diane Hummel | Physician Assistant | 1011 W Broadway, Centralia, IL 62801-5309 | 2006-05-15 |
| 1710937305 | Heather Cushing | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2006-05-12 |
| 1942201330 | Herbert James Huston | Physician Assistant | 404 N Pleasant Ave, Centralia, IL 62801-3006 | 2005-08-09 |
| 1255963880 | Abigail Victoria Reed | Physician Assistant | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2020-02-11 |
| 1982269395 | Jennifer Green | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2019-05-01 |
| 1033698519 | Jennifer Ann Reuter | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531 | 2018-08-07 |
| 1285143933 | Lukas Wesley Steffan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-09-26 |
| 1780102970 | Mercedes Longton Converse | Physician Assistant | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2017-09-07 |
| 1235651720 | Jordan Wilson | Physician Assistant | 2428 W Reynolds Ave, Centralia, WA 98531 | 2017-07-17 |
| 1417496183 | Jessica Kathleen Hannigan | Physician Assistant | 1900 Cooks Hill Rd, Centralia, WA 98531-9073 | 2017-02-14 |
| Find all providers in CENTRALIA | ||||
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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.