KATHRYN WILSON (NPI# 1235423104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235423104 |
| Entity Type | Individual |
| Full Name | KATHRYN WILSON |
| Credential | P.D. |
| Practice Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Practice Telephone | 6168408000 |
| Practice Fax Number | 6168409762 |
| Mailing Telephone | 6168408000 |
| Mailing Fax Number | 6168409762 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301014211 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926501 | Kathryn Durham Wilson | Speech-Language Pathologist | 2412 Tweedmore Ct, High Point, NC 27265-9303 | 2019-05-06 |
| 1922464080 | Kathryn Diane Wilson | Pharmacist | 5187 Ridgevine Way, Fair Oaks, CA 95628-3618 | 2016-01-05 |
| 1487037487 | Kathryn Ann Wilson | Social Worker | 7304 Cross Keys Dr, North Richland Hills, TX 76182-6057 | 2015-07-08 |
| 1174959647 | Kathryn M Wilson | Counselor | 70 Croton Ave Apt 1l, Ossining, NY 10562-7907 | 2013-09-17 |
| 1598007452 | Kathryn Ann Wilson | Physical Therapist | 1230 Pleasant Valley Dr, Baltimore, MD 21228-2649 | 2013-03-19 |
| 1487990016 | Kathryn Wilson | Dietitian, Registered | 11810 Oak Bay Dr, Louisville, KY 40245-6464 | 2013-01-01 |
| 1487920344 | Kathryn Wilson | Counselor | 304 Hoke Ave, Oceanside, NY 11572-2910 | 2012-03-26 |
| 1689953150 | Kathryn Wilson | Licensed Practical Nurse | 56 Tudor Ln, Bay Shore, NY 11706-5530 | 2011-08-15 |
| 1811229628 | Kathryn Grace Wilson | Pharmacist | 9401 Metcalf Ave, Overland Park, KS 66212-1407 | 2010-02-03 |
| 1427209923 | Kathryn M. Wilson | Speech-Language Pathologist | 115 Leland St Sw, Port Charlotte, FL 33952-9130 | 2008-10-02 |
| Street Address |
235 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212893 | Peter E Sices | Internal Medicine | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2005-11-18 |
| 1437756632 | Rebecca Lynn Grier | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-10-01 |
| 1225643208 | Jessica Evans | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-09-15 |
| 1114547544 | Jenae Swiercz | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-04-27 |
| 1740847193 | Jennifer Carrier-masse | Nurse Practitioner | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-05-21 |
| 1598220402 | Kimberley Joy Paszkowski | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-02-05 |
| 1659843795 | Marissa Korodan | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-31 |
| 1750853081 | Lindsey Riker | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1407328727 | Melanie Truer | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1730651068 | Megan Stasiak | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841227659 | Catharine Marie Kaneti | Psychologist | 235 Wealthy Street Se, Mary Free Bed Hospital, Grand Rapids, MI 49503-5299 | 2006-06-27 |
| 1740246339 | Jacobus Am Donders | Psychologist | 235 Wealthy Se, Grand Rapids, MI 49503 | 2006-04-24 |
| 1750347332 | Juliet Maria Coscia | Psychologist | 235 Wealthy Ave Se, Department of Psychology, Grand Rapids, MI 49503-5299 | 2006-04-24 |
| 1669829230 | Roger Lynn Erickson | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2016-05-24 |
| 1417164542 | Jeremy L Johnson | Psychologist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2007-05-17 |
| 1689631251 | Beth Joy Blackbird | Psychologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5299 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353476 | Myschelle Kelly | Psychologist | 1268 W Clark Rd Apt I2, Dewitt, MI 48820-9089 | 2019-12-16 |
| 1427576263 | Diana Lynn Springstead | Psychologist | 1160 Ransom St, Muskegon, MI 49442-3322 | 2017-08-31 |
| 1801139134 | Kelly Jean Savage | Psychologist | 1350 E West Maple Rd, Suite 2, Walled Lake, MI 48390-3727 | 2013-04-04 |
| 1891037735 | Aspire Rehabilitation Services, LLC | Psychologist | 1000 John R Rd Ste 211, Troy, MI 48083-4317 | 2013-03-18 |
| 1164744181 | Innovative Rehabilitation Systems, Inc | Psychologist | 525 E Big Beaver Rd, Suite 203, Troy, MI 48083-1364 | 2010-02-17 |
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on KATHRYN 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.