REBECCA BREANNE WILSON (NPI# 1134726037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134726037 |
| Entity Type | Individual |
| Full Name | REBECCA BREANNE WILSON |
| Practice Address |
1111 S Grenoble Mesa AZ 85208-7520 |
| Practice Telephone | 6026954330 |
| Mailing Telephone | 6026954330 |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
12697 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620950 | Rebecca Wilson | Internal Medicine | Lutheran General Hospital--nesset Clinic, 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2019-03-28 |
| 1417425992 | Rebecca Lynn Wilson | Nurse Practitioner | 7653 Indian Springs Rd, Dallas, TX 75248-5606 | 2018-11-02 |
| 1578056719 | Rebecca Wilson | Dentist | 720 Osterman Ave Ste 305, Deerfield, IL 60015-4339 | 2018-06-12 |
| 1871042085 | Rebecca Lynn Wilson | Specialist/Technologist | 2004 Windemere Dr, Greencastle, IN 46135-9225 | 2016-09-28 |
| 1578946794 | Rebecca Wilson | Psychologist | 3150 18th St Ste 534, San Francisco, CA 94110 | 2015-07-07 |
| 1255768859 | Rebecca Wilson | Counselor | 7649 Woodcrest St, Portage, MI 49024-5059 | 2013-09-27 |
| 1669740510 | Rebecca Wilson | Social Worker | 129 Hitching Post Dr, Southington, CT 06489-2862 | 2011-12-07 |
| 1679875025 | Rebecca A Wilson | Social Worker | 955 Cherry St, Blanchester, OH 45107-7907 | 2010-11-17 |
| 1063728061 | Rebecca E Wilson | Developmental Therapist | 4812 Oak Park Dr, Louisville, KY 40258-1320 | 2010-08-27 |
| 1942533229 | Rebecca Fay Wilson | Registered Nurse | 855 Spring St Apt S8, Conneaut, OH 44030-2292 | 2009-09-17 |
| Street Address |
1111 S GRENOBLE |
| City | MESA |
| State | AZ |
| Zip Code | 85208-7520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211041 | Nina Strack | Specialist/Technologist | 2343 W Main St Apt 2082, Mesa, AZ 85201-9011 | 2020-09-23 |
| 1427676683 | Melissa Porter | Specialist/Technologist | 623 N Yale, Mesa, AZ 85213-6833 | 2020-07-13 |
| 1780202101 | Tori Bailey | Specialist/Technologist | 5437 E Forge Ave, Mesa, AZ 85206-2947 | 2020-07-13 |
| 1851927701 | Kassandra Montijo | Specialist/Technologist | 1751 E Grove Ave, Mesa, AZ 85204-6022 | 2020-03-22 |
| 1700410206 | Regina Pizzagoni | Specialist/Technologist | 743 N 57th Pl, Mesa, AZ 85205-6633 | 2020-02-24 |
| 1780225383 | Emma Catherine Preston | Specialist/Technologist | 948 S Horne, Mesa, AZ 85204-4122 | 2019-10-04 |
| 1407405004 | Ashton Parry | Specialist/Technologist | 708 W Lindner Ave, Mesa, AZ 85210-6838 | 2019-09-06 |
| 1295381614 | Kate Lyman | Specialist/Technologist | 4044 E Hale Cir, Mesa, AZ 85205-4033 | 2019-08-12 |
| 1457905374 | Yuliya Ignatyeva | Specialist/Technologist | 540 N May Apt 3097, Mesa, AZ 85201-4481 | 2019-07-29 |
| 1407319114 | Kara Davis | Specialist/Technologist | 4104 E Broadway Rd Apt 1103, Mesa, AZ 85206-1984 | 2019-04-09 |
| Find all providers in MESA | ||||
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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.