KELLI WILSON (NPI# 1215069356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215069356 |
| Entity Type | Individual |
| Full Name | KELLI WILSON |
| Credential | MBS |
| Practice Address |
221 Ridgecrest Dr Calera OK 74730-2510 |
| Practice Telephone | 5809246363 |
| Practice Fax Number | 5809240379 |
| Mailing Telephone | 5809246363 |
| Mailing Fax Number | 5809240379 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2732 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497383145 | Kelli Wilson | Behavior Technician | 15 Corporate Pl S Ste 333, Piscataway, NJ 08854-6108 | 2020-03-30 |
| 1114484052 | Kelli Wilson | Counselor | 400 Franklin Ave Ste 240, Phoenixville, PA 19460-5137 | 2019-02-27 |
| 1710306097 | Kelli Anne Wilson | Counselor | 2101 E 1st St, Santa Ana, CA 92705-4007 | 2014-04-15 |
| 1114359494 | Kelli Corine Wilson | Midwife | 7950 Martin Loop, Fort Benning, GA 31905-5648 | 2013-08-08 |
| 1639489727 | Kelli Kaye Wilson | Physician Assistant | 700 S Tustin St, Orange, CA 92866-3425 | 2010-10-07 |
| 1104092782 | Kelli Jayne Wilson | Physical Therapist | 5302 Janelle Dr, Killeen, TX 76549-5666 | 2008-05-05 |
| 1508906645 | Kelli Rae Lee Wilson | Dietitian, Registered | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2007-02-07 |
| Street Address |
221 RIDGECREST DR |
| City | CALERA |
| State | OK |
| Zip Code | 74730-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164998274 | Marynna Annisa Mays | Registered Nurse | 6577 Us Hwy 69-75, Calera, OK 74730 | 2018-10-16 |
| 1194241430 | Onesource LLC | Pharmacy | 100 Don Williams Ave, Ste 100, Tuttle, OK 74730 | 2017-08-18 |
| 1235685587 | Kirstyn Plymale | Case Manager/Care Coordinator | 204 North 7th Street, Apt. 204b, Calera, OK 74730 | 2016-08-28 |
| 1427181478 | Sabrina Arnold | Counselor | 106 Glenbrook Dr., Calera, OK 74730 | 2007-03-13 |
| 1689215014 | Sunni Miller | Pharmacist | 213 E Main St, St 100, Calera, OK 74730 | 2019-10-07 |
| 1285000661 | Brenda Smith | Health Educator | 308 West Smiser, Calera, OK 74730 | 2015-08-19 |
| 1194191577 | Roberta Phillips | Health Educator | 308 West Smiser, Calera, OK 74730 | 2015-08-19 |
| 1720454101 | Danielle Pruitt | Health Educator | 308 West Smiser Street, Calera, OK 74730-0308 | 2015-08-19 |
| 1477003317 | Alecia Gossett I | Local Education Agency (LEA) | 308 W. Smiser, Calera, OK 74730-0386 | 2016-10-04 |
| 1578691184 | Calera Public Schools | Local Education Agency (LEA) | 3rd and Ryan, Calera, OK 74730-0386 | 2007-03-02 |
| Find all providers in zip 74730 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672571 | 7th Wellness LLC | Counselor | 1305 10th Ave Ste E, Calera, AL 35040-6229 | 2019-07-24 |
| 1508331646 | Cory De'andre Boler | Counselor | 126 Ashby Street, Calera, AL 35040-5628 | 2018-10-04 |
| 1942689096 | Lashanda Banks | Counselor | 1305 10th Ave, Suite E, Calera, AL 35040-4672 | 2015-05-21 |
| 1134522014 | Latesha Gardner | Counselor | 422 16th St, Calera, AL 35040-6334 | 2014-10-06 |
| 1891085551 | Iris Thrash Brigman | Counselor | 302 Platter Cutoff Rd, Calera, OK 74730-4000 | 2011-04-14 |
| 1427181478 | Sabrina Arnold | Counselor | 106 Glenbrook Dr., Calera, OK 74730 | 2007-03-13 |
| 1790817864 | Donna Kay Bowen | Counselor | 3292 Lemonhill Rd, Calera, OK 74730-4507 | 2007-03-12 |
| 1861550451 | William R Vance Jr. | Counselor | 10426 Highway 25, Calera, AL 35040-6801 | 2006-12-05 |
| 1730739566 | Alabama Counseling Link LLC | Counselor | 10426 Highway 25, Calera, AL 35040-6801 | 2019-09-13 |
| 1144688037 | Jena Anders | Counselor | 151 Hamilton Ln, Calera, AL 35040-8700 | 2016-02-05 |
| Find all providers in CALERA | ||||
Please comment or provide details below to improve the information on KELLI 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.