AMANDA SHEW WILSON


Address: 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894
Phone: 7049391100

AMANDA SHEW WILSON (NPI# 1174891220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174891220
Entity Type Individual
Full Name AMANDA SHEW WILSON
Credential RN
Practice Address 284 Executive Park Drive
Suite 100
Concord
NC 28025-1894
Mailing Address 221 W Main St
Jefferson
NC 28640-9723
Practice Telephone 7049391100
Practice Fax Number 7049391173
Mailing Telephone 7049391100
Enumeration Date 2011-12-05
Last Update Date 2011-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 166768 NC Nursing Service Providers

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1861043119 Amanda L Wilson Social Worker 3034 St Armand Rd, Swanton, VT 05488-8737 2019-09-26
1124679899 Amanda Wilson Counselor 3707 Main St # 5, College Park, GA 30337-3544 2019-09-24
1558838052 Amanda Renee Wilson Social Worker 2118 Adams Overlook Nw, Atlanta, GA 30318 2018-11-01
1518476316 Amanda Jo Wilson Case Manager/Care Coordinator 1106 W 2nd St, Coffeyville, KS 67337-3816 2017-09-25
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1306392238 Amanda Wilson Dentist 2134 State Route 208, Montgomery, NY 12549-2613 2016-08-31
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1265887608 Amanda Wilson Speech-Language Pathologist 4031 San Fernando Ln, Saint Charles, MO 63304-2831 2016-05-03

Office Location

Street Address 284 EXECUTIVE PARK DRIVE
SUITE 100
City CONCORD
State NC
Zip Code 28025-1894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558329243 Daymark Recovery Services, Inc. Psychiatry & Neurology 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2006-05-02
1962955542 Anson Castelvecchi Registered Nurse 284 Executive Park Drive, Daymark Recovery Services, Concord, NC 28025 2016-07-29
1851731780 Ashley Lynn Searing Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2013-06-25
1922366988 Lorraine Rushing Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2012-04-27
1093081929 Sandra Veniece Smiley Licensed Practical Nurse 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2012-03-26
1821368887 Michelle Marie Hossinei Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2012-01-09
1437427580 Jenny Blankenship Hammer Registered Nurse 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1346518495 Sheila Renee Massenburg Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1629346770 Lisa Cox Laird Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
1265700314 Sam Franklin Griffin Counselor 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 2011-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629681002 Syreeta Watkins Reaves Registered Nurse 1016 Blue Sky Dr Nw, Concord, NC 28027-7970 2020-08-26
1174131635 Ruth Tang Registered Nurse 2432 Mountain View Dr, Concord, CA 94520-1736 2020-07-21
1083241616 Sheetal Shivanjali Chand Registered Nurse 1769 Live Oak Ave, Concord, CA 94521-1016 2020-03-24
1952879843 Norcal Caring Concepts, Inc. Registered Nurse 1080 San Miguel Rd Trlr 14, Concord, CA 94518-1331 2018-11-08
1568977809 Alecia Kay Hall Registered Nurse 355 Poplar Crossing Dr Nw, Concord, NC 28027-9725 2017-12-08
1023533486 Amber Rose Harper Registered Nurse 298 Lincoln St Sw Ste D, Concord, NC 28025-5469 2017-08-07
1649642364 Sally Laffitte Registered Nurse 4115 Deerfield Dr Nw, Concord, NC 28027-4519 2015-10-21
1184092371 Melissa Waller Registered Nurse 652 Gable Oaks Ln Nw, Concord, NC 28027-5202 2015-09-04
1194112854 Mesame Tatah Registered Nurse 300 Copperfield Blvd Ne Ste 103-105, Concord, NC 28025-2428 2015-04-21
1043630866 Rachel Buchanan Registered Nurse 1 Pillsbury St 202, Concord, NH 03301-3556 2014-04-19
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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

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.

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