MS. CASEY WILSON (NPI# 1215222633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215222633 |
| Entity Type | Individual |
| Full Name | MS. CASEY WILSON |
| Credential | CI |
| Practice Address |
1705 N. Fm 179 Lubbock TX 79416 |
| Mailing Address |
2345 50th Street Managed Care Center for Addictive/other Disorders, Inc. Lubbock TX 79412 |
| Practice Telephone | 8067978003 |
| Practice Fax Number | 8067977916 |
| Mailing Telephone | 8067808300 |
| Mailing Fax Number | 8067808383 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048084 | Casey Renee Wilson | Nurse Practitioner | 209 Thompson Ave # 2, El Dorado, AR 71730-5755 | 2019-01-31 |
| 1760758254 | Casey Lee Wilson | Emergency Medicine | Jhh 1830 E Monument St, 6-100, Baltimore, MD 21287-0001 | 2012-03-28 |
| 1811471444 | Casey Wilson | Specialist/Technologist | 21726 Placerita Canyon Rd, Santa Clarita, CA 91321-1235 | 2018-09-19 |
| 1487048815 | Casey Evan Wilson | Emergency Medicine | 47 New Scotland Ave, Department of Emergency Medicine, Albany, NY 12208-3412 | 2015-03-24 |
| 1164833562 | Casey S Wilson | Dentist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2014-05-19 |
| 1376830638 | Casey Wilson | Speech-Language Pathologist | 6306 N 7th St, Phoenix, AZ 85014-1549 | 2011-07-06 |
| 1609195932 | Casey Ann Wilson | Counselor | 503 N Hudson St, Altus, OK 73521-3656 | 2010-05-26 |
| 1043324148 | Casey V Wilson | Physician Assistant | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2006-08-18 |
| Street Address |
1705 N. FM 179 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209633 | Latia Green Scherpereel | Counselor | 4204 49th St, Lubbock, TX 79413-3722 | 2020-09-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1447762414 | Diana L. Lorber | Counselor | 4913 S Loop 289, Lubbock, TX 79424-1630 | 2017-10-31 |
| 1881065100 | Billy Don Huey | Counselor | 1804 E 2nd St, Lubbock, TX 79403-4016 | 2015-10-13 |
| 1396111977 | Jessica Ann Murphy | Counselor | 2325 93rd Pl, Lubbock, TX 79423-4423 | 2015-08-18 |
| 1114287992 | John Allen Shiflet | Counselor | 1709 N Fm 179, Lubbock, TX 79416 | 2012-05-25 |
| 1659668481 | William Harris | Counselor | 1705 N. Fm. 179, Lubbock, TX 79416 | 2011-06-30 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1215242946 | Jesseca Rae Brockman | Counselor | 3417 73rd St Ste A, Lubbock, TX 79423-1125 | 2010-08-18 |
| Find all providers in LUBBOCK | ||||
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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.