KIMBERLY S WILSON (NPI# 1225300361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225300361 |
| Entity Type | Individual |
| Full Name | KIMBERLY S WILSON |
| Practice Address |
12913 Condor Dr Oklahoma City OK 73170-5423 |
| Practice Telephone | 4052027533 |
| Mailing Telephone | 4052027533 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 17M00000X | OK | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1265905038 | Kimberly Ann Wilson | Speech-Language Pathologist | 658 Lions Gate Ln, Odenton, MD 21113-1490 | 2019-01-04 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| Street Address |
12913 CONDOR DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467994 | Yenth Matilde Chaidez | Case Manager/Care Coordinator | 10409 Casa Linda, Oklahoma City, OK 73139-5510 | 2020-11-03 |
| 1760082523 | Alimot Shadia L Karim | Case Manager/Care Coordinator | 1330 N Classen Blvd Ste 314, Oklahoma City, OK 73106-6834 | 2020-10-29 |
| 1336749852 | Reshanna Leshae Childs-russell | Case Manager/Care Coordinator | 10505 Windway Ave, Oklahoma City, OK 73162-8001 | 2020-10-26 |
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1689281180 | Michael Antem Abane | Case Manager/Care Coordinator | 11018 N May Ave Apt 218, Oklahoma City, OK 73120-6310 | 2020-09-28 |
| 1932715091 | Robyn Olukaikpe | Case Manager/Care Coordinator | 1736 Ne 14th St, Oklahoma City, OK 73117-3616 | 2020-09-23 |
| 1720694961 | Latasha Howell | Case Manager/Care Coordinator | 2416 Nw 12th St, Oklahoma City, OK 73107-5608 | 2020-09-22 |
| 1982218822 | Sybril Renee Jeffery | Case Manager/Care Coordinator | 8700 Sw 39th St, Oklahoma City, OK 73179-3878 | 2020-09-08 |
| 1871106096 | Harmonious Healing Counseling, LLC | Case Manager/Care Coordinator | 10802 Quail Plaza Dr Ste 205, Oklahoma City, OK 73120-3121 | 2020-08-27 |
| 1407466816 | Stephanie Denise Hollier | Case Manager/Care Coordinator | 1126 Nw 81st St, Oklahoma City, OK 73114-1811 | 2020-08-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
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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.