SANDRA LYNN WILSON (NPI# 1114274735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114274735 |
| Entity Type | Individual |
| Full Name | SANDRA LYNN WILSON |
| Practice Address |
160 N Beach St Daytona Beach FL 32114-3314 |
| Practice Telephone | 3869444707 |
| Mailing Telephone | 3869444707 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842897 | Sandra D Wilson | Case Manager/Care Coordinator | 5461 Portman Dr, Noblesville, IN 46062-8225 | 2020-08-17 |
| 1265848469 | Sandra Wilson | Physical Therapist | 2899 5 Frks Trickum Rd, Lawrenceville, GA 30044-5803 | 2014-07-08 |
| 1356468441 | Sandra Baird Wilson | Nurse Practitioner | 2005 Prince Avenue, Athens, GA 30606 | 2007-03-23 |
| 1235262056 | Sandra Sloan Wilson | Physical Therapist | 13550 Jog Rd Ste 100, Delray Beach, FL 33446-3808 | 2007-03-13 |
| 1023168259 | Sandra A Wilson | Marriage & Family Therapist | 3617 Ricardo, Redding, CA 96002 | 2007-01-11 |
| 1134295876 | Sandra B Wilson | Nurse Practitioner | 189 Wheatly Road, Ahrc Nassau County, Brookville, NY 11545 | 2006-11-27 |
| 1174566814 | Sandra H. Wilson | Physical Therapist | 88 State Route 37, Unit 2, New Fairfield, CT 06812-5036 | 2006-06-13 |
| 1316906415 | Sandra J Wilson | Counselor | 304 W Collin Raye Dr, 103-a, De Queen, AR 71832-2013 | 2006-03-20 |
| 1619584752 | Sandra Lynn Wilson | Technician | 411 W Main St, Romney, WV 26757-1530 | 2020-09-23 |
| 1912569609 | Sandra Lynn Wilson | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2019-07-02 |
| Street Address |
160 N BEACH ST |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831295732 | Community Based Care of Volusia and Flagler Counties, Inc. | Case Management | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2006-09-16 |
| 1053662759 | Rebecca Jody King | Case Management | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-09-21 |
| 1720336506 | Michelle Denise Robinette | Counselor | 160 N Beach St, Daytona Beach, FL 32174 | 2012-08-27 |
| 1588912778 | Stephanie Wellon | Counselor | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-21 |
| 1760730865 | Debbie Rhodes | Case Manager/Care Coordinator | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-21 |
| 1619225836 | Erin Anne Egnor | Social Worker | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-20 |
| 1942558150 | A Helping Hand Inc | Community/Behavioral Health | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-17 |
| 1154679470 | Shatira Ebony Jacobs | Counselor | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-16 |
| 1528315041 | Melissa Diggett | Social Worker | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-14 |
| 1235486812 | Liane Fernandes Cruz | Case Manager/Care Coordinator | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1841746658 | Terrell Irvin | Case Manager/Care Coordinator | 240 N. Frederick Ave, Daytona Beach, FL 32114 | 2016-08-31 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1871912329 | Darrell Anthony Shell | Case Manager/Care Coordinator | 435 S Ridgewood Ave # 118, Daytona Beach, FL 32114-4927 | 2014-04-14 |
| 1376971317 | Walter Craig Green Jr. | Case Manager/Care Coordinator | 259 Bill France Blvd. Suite 200, Daytona Beach, FL 32114 | 2013-10-30 |
| 1477806743 | Rhonda Levette Williams | Case Manager/Care Coordinator | 827 Kottle Cir N, Daytona Beach, FL 32114-4720 | 2012-10-23 |
| 1700135308 | Fred Baker | Case Manager/Care Coordinator | 160 N. Beach St., Daytona Beach, FL 32114 | 2012-08-29 |
| 1740538933 | Raegan L Jones | Case Manager/Care Coordinator | 160 North Beach Street, Daytona Beach, FL 32114-3314 | 2012-08-21 |
| 1083980387 | Teresa M Broxton | Case Manager/Care Coordinator | 401 N Ridgewood Avenue, Daytona Beach, FL 32114 | 2012-03-30 |
| 1396971156 | Erica N Simpson | Case Manager/Care Coordinator | 521 Cannon St, Daytona Beach, FL 32114-2503 | 2009-06-08 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.