BARBARA BOOTH WILSON (NPI# 1215133863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215133863 |
| Entity Type | Individual |
| Full Name | BARBARA BOOTH WILSON |
| Credential | ATC, LIC |
| Practice Address |
University Campus Mc 2038 Saint Leo University 33701 St Rd 52 Saint Leo FL 33574 |
| Mailing Address |
25317 Tradewinds Dr Land O Lakes FL 34639-5563 |
| Practice Telephone | 3525888222 |
| Mailing Telephone | 8139077414 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AL 1066 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061339 | Barbara Wilson | Counselor | 6439 Deep Woods Ct, Flowery Branch, GA 30542-6629 | 2016-09-15 |
| 1881049096 | Barbara Wilson | Dietitian, Registered | 4649 State Park Hwy, Interlochen, MI 49643-9527 | 2016-04-26 |
| 1518225622 | Barbara Ann Wilson | Nurse's Aide | 2114 Grant St, Portsmouth, OH 45662-3733 | 2012-04-26 |
| 1447565312 | Barbara J Wilson | Licensed Practical Nurse | 5035 Longmore Ct, Dayton, OH 45424-5954 | 2010-08-16 |
| 1649504358 | Barbara Joan Wilson | Physical Therapist | 479 Bethmour Rd, Bethany, CT 06524-3370 | 2009-09-28 |
| 1992936967 | Barbara Ann Wilson | Registered Nurse | 12936 State Route 691, Nelsonville, OH 45764 | 2009-08-07 |
| 1265636161 | Barbara Woods Wilson | Mechanotherapist | 4322 Polk St, Hollywood, FL 33021-6616 | 2007-06-13 |
| 1952464695 | Barbara Harper Wilson | Case Manager/Care Coordinator | 2411 Bristol Place Ct, Augusta, GA 30906-9495 | 2006-12-17 |
| 1447332499 | Barbara Wilson | Dietitian, Registered | 6151 Cedar Ave, Pennsauken, NJ 08109-2317 | 2006-10-19 |
| 1780794537 | Barbara R Wilson | Social Worker | Bldg 786 D Street, Anchorage, AK 99505 | 2006-08-30 |
| Street Address |
UNIVERSITY CAMPUS MC 2038 SAINT LEO UNIVERSITY 33701 ST RD 52 |
| City | SAINT LEO |
| State | FL |
| Zip Code | 33574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306368386 | Susan R Cross | Specialist/Technologist | 33701 St Rd 52, Saint Leo, FL 33574 | 2017-07-12 |
| 1255577656 | Saint Leo University | Clinic/Center | 33701 St. Rd. 52. Ste Mc2246, Saint Leo, FL 33574 | 2009-01-06 |
| 1710546361 | Thomas Spock IIi | Specialist/Technologist | 33701 State Road 52, Saint Leo, FL 33574 | 2019-06-07 |
| 1720647910 | Steven Jurnak Jr. | Specialist/Technologist | 33701 State Road 52, Saint Leo, FL 33574-3357 | 2019-06-11 |
| 1134316995 | Kevin M. Kieffer | Psychologist | 33701 State Road 52, Department of Psychology Mc 2127, Saint Leo, FL 33574-6665 | 2007-09-26 |
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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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.