BRIAN WILSON (NPI# 1124407978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407978 |
| Entity Type | Individual |
| Full Name | BRIAN WILSON |
| Practice Address |
7464 Arapahoe Rd Ste B3 Boulder CO 80303-1500 |
| Practice Telephone | 7205023939 |
| Practice Fax Number | 7205023933 |
| Mailing Telephone | 7205023939 |
| Mailing Fax Number | 7205023933 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DUNS | 079733108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122269 | Brian A Wilson | Registered Nurse | 12801 Brookhurst St Unit 1118, Garden Grove, CA 92840-4864 | 2019-12-31 |
| 1265076376 | Brian Wilson | Registered Nurse | 729 Goldenrod Dr, Gardendale, AL 35071-2844 | 2019-10-31 |
| 1427536580 | Brian Wilson | Social Worker | 5136 Woolverton Ave, Baltimore, MD 21215-5135 | 2018-08-01 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| 1184012775 | Brian Wilson | Occupational Therapist | 6919 Nebo Hills Rd, Liberty, MO 64068-8504 | 2015-01-05 |
| 1780931329 | Brian Lee Wilson | Massage Therapist | 1840 Ne 104th Loop, #7, Vancouver, WA 98686-5676 | 2012-08-14 |
| 1508148644 | Brian Scott Wilson | Pharmacist | 10680 Torrington Ln, Highlands Ranch, CO 80126-7549 | 2011-09-14 |
| 1588952204 | Brian A. Wilson | Marriage & Family Therapist | 507 W Foothill Blvd # B, Monrovia, CA 91016-2021 | 2011-07-14 |
| 1417187931 | Brian Wilson | Registered Nurse | 315 Hudson St Fl 9, New York, NY 10013-1036 | 2009-07-17 |
| 1578727095 | Brian Wilson | Durable Medical Equipment & Medical Supplies | 116 Alabama St, Dalhart, TX 79022-5334 | 2008-07-14 |
| Street Address |
7464 ARAPAHOE RD STE B3 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134606106 | Dandelion Services, LLC | Homemaker | 4595 14th St Apt 207, Boulder, CO 80304-2279 | 2018-07-23 |
| 1992998363 | Boulder County Enterprises Inc | Homemaker | 6290 Lookout Rd, Boulder, CO 80301-3319 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566819 | Alicia Nicole Petri | Homemaker | 218 N 2nd Street, Cripple Creek, CO 80813-8081 | 2020-10-19 |
| 1477171148 | Gabriela Guevara | Homemaker | 19399 County Road 25, Platteville, CO 80651 | 2020-07-09 |
| 1992322408 | Mary Catherine Walentosky | Homemaker | 3300 S Glencoe St, Denver, CO 80222-7520 | 2020-06-30 |
| 1851918536 | Colorado Springs Senior Care, LLC D.b.a. Home Instead | Homemaker | 1955 N Union Blvd Ste 100, Colorado Springs, CO 80909-2213 | 2020-06-29 |
| 1891311726 | Caregivers Village Colorado LLC | Homemaker | 6252 Powell Rd, Parker, CO 80134-5619 | 2020-06-16 |
| 1104449768 | A Clean Team, LLC | Homemaker | 2800 Worthington Ave, Fort Collins, CO 80526-2659 | 2020-05-18 |
| 1952923179 | Colorado Family Caregivers LLC | Homemaker | 10475 Elizabeth Way, Colorado Springs, CO 80908-1579 | 2020-05-11 |
| 1265068886 | Katherine Andrea Aragon | Homemaker | 2000 Oneal Pl, Pueblo, CO 81004-3880 | 2020-03-15 |
| 1811529571 | Mosaik Kreations II LLC | Homemaker | 7384 E Princeton Ave, Denver, CO 80237-2386 | 2020-02-10 |
| 1033750906 | Yucare Home Health Inc | Homemaker | 1450 S Havana St Ste 834, Aurora, CO 80012-4018 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
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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.