RENEE J WILSON (NPI# 1154949626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154949626 |
| Entity Type | Individual |
| Full Name | RENEE J WILSON |
| Credential | MS, LPC |
| Practice Address |
600 N Grand Ave Tahlequah OK 74464-2301 |
| Mailing Address |
1610 Stevens Pl Wagoner OK 74467-3528 |
| Practice Telephone | 9184444739 |
| Mailing Telephone | 9518929349 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7082 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417308909 | Renee Tanya Wilson | Counselor | 5535 Harvard Rd, Detroit, MI 48224-2163 | 2016-06-26 |
| 1386885549 | Renee Nichole Wilson | Speech-Language Pathologist | 2301 Research Blvd Ste 110, Rockville, MD 20850-6250 | 2009-03-18 |
| 1467653014 | Renee D Wilson | Nurse Practitioner | 825 Graham Rd, Benton, AR 72015-8975 | 2007-05-30 |
| 1033202452 | Renee Proctor Wilson | Midwife | 1400 N Laventure Rd, Mount Vernon, WA 98273-2766 | 2006-09-30 |
| 1821599820 | Renee Bernice Wilson | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2018-02-24 |
| 1720528631 | Renee Wilson | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2017-02-27 |
| 1407229024 | Renee Marie Wilson | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2015-11-04 |
| 1780074492 | Renee Wilson | Pharmacy Technician | 7400 Bustleton Ave, Philadelphia, PA 19152-4312 | 2015-02-02 |
| 1750789590 | Renee Wilson | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2014-12-10 |
| 1174923692 | Renee Wilson | Registered Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2014-09-03 |
| Street Address |
600 N GRAND AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932271798 | Zachary Daniel Collett | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2006-11-15 |
| 1558903401 | Elizabeth A Mai | Social Worker | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-10-11 |
| 1740842772 | Jordyn Danielle Reese | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-06-29 |
| 1811552482 | Sarah Robinson | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2019-05-08 |
| 1689166431 | Emily Summerlin | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2018-06-06 |
| 1376071845 | Bailey Cooper | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-05-30 |
| 1184152027 | Ann Peyton Ellis | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-05-23 |
| 1427581958 | Kendra Pettit | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-04-11 |
| 1437504321 | Tiffany Marie Hoffman | Student in an Organized Health Care Education/Training Program | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2016-04-27 |
| 1063816817 | James Bloomcamp | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1891040515 | Sandra Jean Hill | Counselor | 314 N Muskogee Ave, Tahlequah, OK 74464-2738 | 2012-07-18 |
| 1437413267 | Donna Jones | Counselor | 7 Mathis Park Dr, Tahlequah, OK 74464-6825 | 2012-06-26 |
| 1033472303 | Sherry Ann Chennault | Counselor | 2021 Mahaney Ave Ste 4, Tahlequah, OK 74464-5795 | 2012-06-20 |
| 1669613675 | Laura L Owen | Counselor | 1140 Mulberry Dr, Tahlequah, OK 74464 | 2009-03-20 |
| 1770740748 | James David Williams | Counselor | 17091 S Muskogee, Building 4, Tahlequah, OK 74464 | 2008-05-19 |
| 1316140635 | Barbara Theresa Page-hicks | Counselor | 309 E South St, Tahlequah, OK 74464-4024 | 2007-06-06 |
| 1295852887 | Mark L Taylor | Counselor | 308 East Downing Street, Tahlequah, OK 74464-4603 | 2007-03-26 |
| 1518422112 | Felicia Graff | Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2019-02-07 |
| 1558855031 | Ashley Hopper | Counselor | 1510 E Shawnee Cir, Tahlequah, OK 74464-2528 | 2018-06-19 |
| Find all providers in TAHLEQUAH | ||||
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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.