MS. BRANDY WILSON (NPI# 1275145344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275145344 |
| Entity Type | Individual |
| Full Name | MS. BRANDY WILSON |
| Practice Address |
37301 Radde St Clinton Township MI 48036-2932 |
| Practice Telephone | 3134004028 |
| Mailing Telephone | 3134004028 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 8640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801791 | Brandy M Wilson | Nurse Practitioner | 11670 Highway 21 S, Union, MS 39365-9198 | 2018-11-27 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| 1972973261 | Brandy Wilson | Case Manager/Care Coordinator | 5761 Louis Prima Dr E, New Orleans, LA 70128 | 2015-09-30 |
| 1215245048 | Brandy Wilson | Rehabilitation Practitioner | 336 Lance Ave, North Las Vegas, NV 89030-3869 | 2010-09-14 |
| 1174846455 | Brandy L Wilson | Speech-Language Pathologist | 836 S Bishop St, Garden Apt, Chicago, IL 60607-4022 | 2010-03-01 |
| 1952949182 | Brandy Wilson | Nurse Practitioner | 314 Main St Ste B, Monticello, MS 39654-3702 | 2019-12-18 |
| 1992368658 | Brandy L Wilson | Behavioral Analyst | 1460 Nw Vivion Rd Ste B, Kansas City, MO 64118-4555 | 2019-04-18 |
| 1881164002 | Brandy Denise Wilson | Nurse's Aide | 140 Dameron Ave, Knoxville, TN 37917-6413 | 2018-11-30 |
| 1689923567 | Brandy Nicole Wilson | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2012-09-06 |
| 1548279987 | Brandy Wilson | Physical Therapist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2006-08-05 |
| Street Address |
37301 RADDE ST |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139307 | Heart Matters | Day Training/Habilitation Specialist | 9037 Fielding St, Detroit, MI 48228-1670 | 2020-09-22 |
| 1578108643 | Lakestate Industries | Day Training/Habilitation Specialist | 1830 N 21st St, Escanaba, MI 49829-9586 | 2019-11-13 |
| 1679088074 | Tortia Tuo | Day Training/Habilitation Specialist | 5035 Marwood Ct Se, Kentwood, MI 49508-4852 | 2017-12-06 |
| 1710405048 | Shannika Gilbert | Day Training/Habilitation Specialist | 12075 Sorrento St, Detroit, MI 48227-3751 | 2017-09-07 |
| 1336570472 | Charles Garofali | Day Training/Habilitation Specialist | 6892 W Maple Rd, West Bloomfield, MI 48322-3032 | 2013-11-27 |
| 1902036288 | Maria A. Germain-bush | Day Training/Habilitation Specialist | 3474 Snowfarm Ln, Allegan, MI 49010-9188 | 2009-07-21 |
| 1952587487 | Autumn Lynn Westbrook | Day Training/Habilitation Specialist | 4166 Ravenswood Rd, Port Huron, MI 48060-7817 | 2008-01-15 |
| 1154507879 | Theresa Laura Swinson | Day Training/Habilitation Specialist | 4745 Fish Rd, Kimball, MI 48074-1506 | 2008-01-11 |
| 1083890818 | Andrea Lynn Rodriguez | Day Training/Habilitation Specialist | 375 Henry St, Smiths Creek, MI 48074-4005 | 2008-01-10 |
| 1952587784 | Melana Marie Bennett | Day Training/Habilitation Specialist | 1214 Rawlins St, Port Huron, MI 48060-3658 | 2008-01-10 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
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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.