TIA LYNN WILSON (NPI# 1255709564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255709564 |
| Entity Type | Individual |
| Full Name | TIA LYNN WILSON |
| Practice Address |
121 E Washington Ave Unit Ll Kirkwood MO 63122-4481 |
| Practice Telephone | 3145037464 |
| Mailing Telephone | 3145037464 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
2013029980 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245662832 | Tia Wilson | Counselor | 1726 Kingsley Ave, Orange Park, FL 32073 | 2013-08-06 |
| Street Address |
121 E WASHINGTON AVE UNIT LL |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-4481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514827 | Marie Elizabeth Brown | Social Worker | 13750 Old Jamestown Rd, Black Jack, MO 63033-4514 | 2019-02-11 |
| 1811428451 | Ellen Dunne | Social Worker | 125 Pebble Acres Ct, Saint Louis, MO 63141-8030 | 2017-03-24 |
| 1073052213 | Gayle Giancola | Social Worker | 9100 Saint Charles Rock Rd, Saint Louis, MO 63114-4241 | 2017-02-21 |
| 1609315332 | Alicia Firman | Social Worker | 11011 Golf Crest Dr, Saint Louis, MO 63126-3419 | 2017-02-14 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1851769475 | Debbie Busche | Social Worker | 12112 Clayton Rd, Saint Louis, MO 63131-2516 | 2015-09-14 |
| 1194193011 | Pamela Miller | Social Worker | 8309 Mackenzie Rd, Saint Louis, MO 63123-3455 | 2015-09-09 |
| 1790153633 | Jennifer Marie Ulrich | Social Worker | 1450 Saint Bernadette Ln, Florissant, MO 63031-7825 | 2015-09-09 |
| 1346618402 | Kara Labedz | Social Worker | 17401 Manchester Rd, Wildwood, MO 63038-1906 | 2015-09-07 |
| 1922476217 | Bryan Curtis Kohring | Social Worker | 4530 Weber Rd, Saint Louis, MO 63123-5722 | 2015-09-03 |
| Find all providers with the same taxonomy | ||||
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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.