JOSHUA M WILSON (NPI# 1194295592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194295592 |
| Entity Type | Individual |
| Full Name | JOSHUA M WILSON |
| Credential | DC |
| Practice Address |
444 Sw Alachua Avenue Lake City FL 32025-5213 |
| Mailing Address |
444 Sw Alachua Ave Lake City FL 32025-5213 |
| Practice Telephone | 3867195656 |
| Practice Fax Number | 3867195654 |
| Mailing Telephone | 3867195656 |
| Mailing Fax Number | 3867195654 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12879 | FL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CHIR010131 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013387273 | Joshua Wilson | Psychologist | 665 Beacon St Ste 300, Boston, MA 02215-3202 | 2015-09-30 |
| 1114263340 | Joshua Michael Wilson | Physical Therapy Assistant | 1204 Pinecroft Dr, Taylors, SC 29687-2234 | 2012-12-15 |
| 1275887689 | Joshua D Wilson | Chiropractor | 14511 N Santa Fe Ave, Edmond, OK 73013 | 2012-11-07 |
| 1770713133 | Joshua Wilson | Physician Assistant | 1008 Sea Biscuit Dr, Indian Trail, NC 28079-5703 | 2009-07-20 |
| 1447373832 | Joshua Bryce Wilson | Dermatology | 6000 University Ave Ste 450, West Des Moines, IA 50266-8229 | 2007-04-09 |
| 1093740821 | Joshua David Wilson | Optometrist | 250 E Elm St, Nashville, IL 62263-1710 | 2006-07-11 |
| 1033775077 | Joshua Abram Wilson | Counselor | 1266 14th St, Oakland, CA 94607-2247 | 2019-05-15 |
| 1023514064 | Joshua Caleb Wilson | Physical Therapist | 1272 Garrison Dr Ste 303, Murfreesboro, TN 37129-0053 | 2018-03-30 |
| 1932639689 | Joshua Brockway Wilson | Obstetrics & Gynecology | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2017-06-15 |
| 1528503885 | Joshua Bryan Wilson Sr. | Nurse Practitioner | 375 Park Ave Ste 5, Coos Bay, OR 97420-2242 | 2016-12-22 |
| Street Address |
444 SW ALACHUA AVENUE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487018222 | Lake City Spine & Injury, LLC | Chiropractor | 2057 Sw Main Blvd, Lake City, FL 32025-0021 | 2016-04-07 |
| 1841656527 | Chucky Sentell Jordan | Chiropractor | 263 Kelley St Ste 100, Lake City, SC 29560-2472 | 2016-01-11 |
| 1811179781 | Lake City Chiropractic and Massage | Chiropractor | 512 W Duval St, Lake City, FL 32055-3899 | 2007-12-03 |
| 1003000415 | Marshall Dean Webster | Chiropractor | 1478 Sw Sisters Welcome Rd, Lake City, FL 32025-1607 | 2007-08-29 |
| 1649481052 | Larry Fredric Radke | Chiropractor | 430 Sw Columbia Ave, Lake City, FL 32025-5254 | 2007-05-25 |
| 1356481386 | Shawn A Stephens | Chiropractor | 935 Sw Baya Dr, Lake City, FL 32025-4210 | 2007-02-07 |
| 1033266317 | Nathan Troy Schulz | Chiropractor | 925 S Oak St, Lake City, MN 55041-1856 | 2007-01-05 |
| 1205990066 | Terrell E Fowler IIi | Chiropractor | 111 N Matthews Rd, Lake City, SC 29560-2309 | 2006-12-19 |
| 1497813083 | Leroy Frank Otto | Chiropractor | 127 South High Street, Lake City, MN 55041-1637 | 2006-12-05 |
| 1376618793 | Charles Watts | Chiropractor | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2006-11-21 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on JOSHUA M WILSON.
| 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.