ELIZABETH R WILSON (NPI# 1093904427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093904427 |
| Entity Type | Individual |
| Full Name | ELIZABETH R WILSON |
| Credential | LPN |
| Practice Address |
624 Market Ave. N. Canton OH 44702-1017 |
| Mailing Address |
624 Market Ave. N Canton OH 44702-1017 |
| Practice Telephone | 3304934553 |
| Practice Fax Number | 3304933761 |
| Mailing Telephone | 3304934553 |
| Mailing Fax Number | 3304933761 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PN095547 | OH | Behavioral Health & Social Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | PN095547 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942836556 | Elizabeth Wilson | Dietitian, Registered | 937 S 3rd St Apt A, Columbus, OH 43206-2542 | 2020-03-15 |
| 1437799012 | Elizabeth E Wilson | Social Worker | 2917 N Highland Ave, Jackson, TN 38305-3407 | 2020-01-10 |
| 1760023543 | Elizabeth Wilson | Technician | 157 Lee Road 215, Phenix City, AL 36870-8849 | 2019-10-03 |
| 1992356968 | Elizabeth Wilson | Social Worker | 5236 Meadowdale St, Metairie, LA 70006-3926 | 2019-09-21 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1023573755 | Elizabeth Wilson | Dietitian, Registered | 8424 4th St N, Saint Petersburg, FL 33702-3659 | 2019-02-06 |
| 1467989111 | Elizabeth Wilson | Technician | 1216 Granby St Ste 7, Norfolk, VA 23510-2622 | 2017-05-12 |
| 1841643947 | Elizabeth Wilson | Contractor | 3511 Legation St Nw, Washington, DC 20015-1715 | 2016-07-13 |
| 1073913091 | Elizabeth Wilson | Counselor | 102 Attu Rd, Seaside, CA 93955-6600 | 2014-08-27 |
| 1093080541 | Elizabeth L. Wilson | Nurse Practitioner | 2225 U S Highway 41 N, Tifton, GA 31794 | 2012-03-16 |
| Street Address |
624 MARKET AVE. N. |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316449374 | Christina M Schrader | Case Manager/Care Coordinator | 624 Market Ave. N., Canton, OH 44702-1017 | 2018-03-06 |
| 1740638675 | Jamie L Lizak | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-06-01 |
| 1558719484 | Susan J Mccollum | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-06-01 |
| 1528416419 | Nicole M Whitsel | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-06-01 |
| 1477908036 | Kaci N Lapp | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-05-02 |
| 1730534397 | Christina Watson | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-05-02 |
| 1154776714 | Erin E Weber | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-05-02 |
| 1053766618 | Justin B Madison | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2016-05-02 |
| 1013269315 | Kelli N Mann | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2012-10-10 |
| 1790034114 | Adrienne Therese Roth | Counselor | 624 Market Ave. N., Canton, OH 44702-1017 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| Find all providers in zip 44702 | ||||
| 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 |
|---|---|---|---|---|
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1154937142 | Heather Anne Houston | Licensed Practical Nurse | 2416 9th St Sw, Canton, OH 44710-1807 | 2020-09-16 |
| 1184234494 | Regina M Cross | Licensed Practical Nurse | 230 Cayuga Ave Nw, Canton, OH 44708-5229 | 2020-08-03 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1386277945 | Travisha Lucius | Licensed Practical Nurse | 1610 Ohio Ave Ne, Canton, OH 44705-1847 | 2020-02-21 |
| 1689206914 | Sade Marie Bradford | Licensed Practical Nurse | 1515 Lippert Rd Ne, Canton, OH 44705-1319 | 2020-02-05 |
| 1326681545 | Tera Vance | Licensed Practical Nurse | 2120 Superior Ave Ne, Canton, OH 44705-2438 | 2019-10-21 |
| 1386293090 | Moshalai Jewell | Licensed Practical Nurse | 3517 12th St Sw, Canton, OH 44710-1503 | 2019-09-05 |
| Find all providers in CANTON | ||||
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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.