BRETT WILSON (NPI# 1164839031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164839031 |
| Entity Type | Individual |
| Full Name | BRETT WILSON |
| Credential | NP |
| Practice Address |
541 State Route 664 N Suite C Logan OH 43138-8541 |
| Mailing Address |
1049 Western Ave P.o. Box 188 Chillicothe OH 45601-1104 |
| Practice Telephone | 7403856594 |
| Practice Fax Number | 7403800852 |
| Mailing Telephone | 7407734366 |
| Mailing Fax Number | 7407757855 |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2015-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
16225 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928804 | Brett M Wilson | Nurse Practitioner | 2030 Nw 5th Ter, Cape Coral, FL 33993-7536 | 2020-09-25 |
| 1881662963 | Brett Wilson | Family Medicine | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 | 2006-03-14 |
| 1699759175 | Brett Michael Wilson | Dentist | 5227 S Main St, Ste D, Joplin, MO 64804-4916 | 2005-11-30 |
| 1194726307 | Brett Lee Wilson | Surgery | 2521 Glenn Hendren Dr Ste 204, Liberty, MO 64068-3388 | 2005-08-10 |
| 1770101032 | Brett M Wilson | Dentist | 2999 Corporate Ln, Suffolk, VA 23434-8478 | 2020-07-13 |
| 1720645518 | Brett Wilson | Behavior Technician | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2019-05-28 |
| 1265818918 | Brett Wilson | Physical Therapy Assistant | 6106 Health Center Ln, Fredericksburg, VA 22407-6687 | 2015-08-05 |
| 1386025963 | Brett Allen Wilson | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2015-06-09 |
| 1922390947 | Brett Lonnis Wilson | Counselor | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2011-05-10 |
| 1780601252 | Brett Wilson II | Emergency Medicine | 300 W Pueblo St, Santa Barbara, CA 93105-4311 | 2006-07-17 |
| Street Address |
541 STATE ROUTE 664 N SUITE C |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-8541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811245848 | Makaila Tussing | Counselor | 541 State Route 664 N, Suite C, Logan, OH 43138-8541 | 2012-08-23 |
| 1306241849 | Jennifer Rose Murphy | Social Worker | 541 State Route 664 N, Suite C, Logan, OH 43138-8541 | 2014-10-27 |
| 1619393261 | Stacy Dingess | Occupational Therapist | 541 State Route 664 N, Suite A, Logan, OH 43138-8541 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1669096962 | Leah Kathleen Garrison | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2020-06-02 |
| 1003372806 | Amanda Borup | Nurse Practitioner | 90 E 200 N, Logan, UT 84321-4034 | 2019-02-16 |
| 1659653566 | Paige Diane Barnard | Nurse Practitioner | 2380 N 400 E Ste C, Logan, UT 84341-1756 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| 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.