ELIZABETH WILSON (NPI# 1114275153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114275153 |
| Entity Type | Individual |
| Full Name | ELIZABETH WILSON |
| Credential | ARNP |
| Practice Address |
4401 Cortez Rd W Bradenton FL 34210-3142 |
| Mailing Address |
Po Box 25487 Sarasota FL 34277-2487 |
| Practice Telephone | 9413575550 |
| Practice Fax Number | 9417927152 |
| Mailing Telephone | 9412025342 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2017-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9433714 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306158-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019547200 | 05 |
| 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 |
4401 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681049 | Shahnaz Ahmed | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2005-07-01 |
| 1164964193 | Leigh Anne Johnson | Physician Assistant | 4401 Cortez Rd W, Bradenton, FL 34210 | 2016-11-08 |
| 1134539125 | Sharon Denise Rudolph | Nurse Practitioner | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2014-04-30 |
| 1609296441 | Anum Ahmed | Family Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2014-04-20 |
| 1811311905 | Danielle Sookoor | Physician Assistant | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2014-02-10 |
| 1417204074 | Florida Medical Specialists | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210 | 2012-08-13 |
| 1043581523 | Stephanie Minter | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2012-01-16 |
| 1619974839 | Werther R. Marciales | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2005-07-01 |
| 1518964733 | Aruna Narasimman | Internal Medicine | 4401 Cortez Rd W, Bradenton, FL 34210-3142 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639587728 | Debbie C. Sheneman Np-c Inc | Nurse Practitioner | 926 14th St W, Bradenton, FL 34205-6646 | 2014-08-01 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1942316922 | Susan L Gaida | Nurse Practitioner | 202 Sherwood Dr, Bradenton, FL 34210-4516 | 2006-08-22 |
| 1700820958 | Kimberly A Sand | Nurse Practitioner | 1105 53rd Ave E, Building A, Bradenton, FL 34203-4897 | 2006-06-16 |
| 1407819477 | Janene Mary Diekmann | Nurse Practitioner | 5520 State Road 64, Bradenton Cboc, Bradenton, FL 34208 | 2006-04-10 |
| 1609838119 | Catherine I Mcdermott | Nurse Practitioner | 3914 East State Road 64, Bradenton, FL 34208-9095 | 2006-04-03 |
| 1922091396 | Jill M Heringhaus | Nurse Practitioner | 201 4th Ave E, Suite 1, Bradenton, FL 34208 | 2005-08-31 |
| 1689139297 | Autumn Nicole Stevanus | Nurse Practitioner | 8614 State Road 70 E Ste 104, Bradenton, FL 34202-3710 | 2019-02-07 |
| 1851855050 | Charles Kasten | Nurse Practitioner | 2401 Manatee Ave W, Bradenton, FL 34205-4933 | 2019-01-22 |
| 1104345750 | Andrea Marie Bell | Nurse Practitioner | 101 Riverfront Blvd Ste 700, Bradenton, FL 34205-8823 | 2017-09-14 |
| Find all providers in BRADENTON | ||||
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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.