MRS. SHANNON TAYLOR WILSON (NPI# 1205921764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205921764 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON TAYLOR WILSON |
| Credential | MSN |
| Practice Address |
160 Medical Circle First Floor West Columbia SC 29169-3656 |
| Practice Telephone | 8037966811 |
| Practice Fax Number | 8037966851 |
| Mailing Telephone | 8037966811 |
| Mailing Fax Number | 8037966851 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R89467 | SC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE ID | P00038218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752425 | Shannon Michelle Wilson | Licensed Practical Nurse | 38 S Thomas Rd Unit B, Tallmadge, OH 44278-2100 | 2019-04-03 |
| 1336617398 | Shannon Wilson | Registered Nurse | 228 19th St Sw, Rochester, MN 55902-2327 | 2018-11-07 |
| 1841711173 | Shannon Wilson | Physical Therapy Assistant | 6102 Easton Rd, Knoxville, TN 37920-6434 | 2017-06-27 |
| 1629417746 | Shannon Marie Wilson | Counselor | 1570 42nd St Ne Ste 2a, Cedar Rapids, IA 52402-3073 | 2013-06-21 |
| 1033402268 | Shannon Lotess Wilson | Licensed Practical Nurse | 16834 127th Ave, 6a, Jamaica, NY 11434-3148 | 2011-05-20 |
| 1013225754 | Shannon Amber Wilson | Social Worker | 3535 N California Ave, Suite F, Peoria, IL 61603-1178 | 2010-09-15 |
| 1043413115 | Shannon Leigh Wilson | Physical Therapy Assistant | 5210 Sarah Lane, Fredericksburg, VA 22407 | 2007-06-07 |
| 1477681146 | Shannon Brock Wilson | Dentist | 19 Shirmadon Dr, Honea Path, SC 29654-1533 | 2007-03-02 |
| 1730714320 | Shannon Elise Wilson | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-03-04 |
| 1396225843 | Shannon A Wilson | Behavior Technician | 2733 Quarry Heights Way, Baltimore, MD 21209-1080 | 2018-08-15 |
| Street Address |
160 MEDICAL CIRCLE FIRST FLOOR |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932292430 | Larry W. Nelson | Psychiatry & Neurology | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-02 |
| 1639265275 | Susan W. Taylor | Registered Nurse | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-04 |
| 1801981352 | Carl O. Kinard | Psychiatry & Neurology | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-03 |
| 1396830717 | Ashton M. Carrigan | Social Worker | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-03 |
| 1871687434 | Frank L. Quinn | Psychologist | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-03 |
| 1003900507 | Patrick T. Butterfield | Psychiatry & Neurology | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639265275 | Susan W. Taylor | Registered Nurse | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773326 | Edith Bostic | Registered Nurse | 409 Paul St, Conway, SC 29527-5823 | 2019-10-31 |
| 1073167185 | Shyeasha Wilson | Registered Nurse | 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 | 2019-07-26 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1689122640 | Chanelle M Johnson | Registered Nurse | 217 Gateway Ln, Columbia, SC 29210-7452 | 2016-09-19 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| 1902212251 | New Day Emotional Care, LLC | Registered Nurse | 2117 W Palmetto St Ste A, Florence, SC 29501-3902 | 2014-07-08 |
| 1194137091 | Carmen White-baltimore | Registered Nurse | 4794 Baltimore Pl, Charleston, SC 29418-3485 | 2014-05-27 |
| 1518381599 | Rosalinde M Rhynes | Registered Nurse | 3805 Saluda Rd, Rock Hill, SC 29730-7262 | 2014-02-11 |
| 1952654527 | Veronica Smith | Registered Nurse | 3473 Lockhart Hwy, Union, SC 29379-8526 | 2012-10-19 |
| 1154670586 | Karissa Ann Chorbajian | Registered Nurse | 248 Earle Dr, Greenville, SC 29611-4408 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on MRS. SHANNON TAYLOR 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.