JUANITA WILSON (NPI# 1275818163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275818163 |
| Entity Type | Individual |
| Full Name | JUANITA WILSON |
| Credential | ANP |
| Practice Address |
11155 Dunn Rd Saint Louis MO 63136-6150 |
| Mailing Address |
5864 Enright Ave Saint Louis MO 63112-2302 |
| Practice Telephone | 3147411400 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 2010016002 | MO | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861505331 | Juanita Wilson | Nurse Practitioner | 1900 E 9th, Wichita, KS 67214 | 2006-08-17 |
| 1851918627 | Juanita Wilson | Marriage & Family Therapist | 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708-6912 | 2020-06-28 |
| 1942753579 | Juanita Wilson | Nurse Practitioner | 1000 Tuckerton Ct, Reading, PA 19605-1177 | 2016-08-01 |
| 1922118264 | Juanita Wilson | Social Worker | 543 Taylor Ave, Columbus, OH 43203-1278 | 2006-08-30 |
| Street Address |
11155 DUNN RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585356 | Salvador Lobianco | Internal Medicine | 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 | 2005-08-19 |
| 1770047664 | Rachel Marie Biggs | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2019-01-25 |
| 1245720846 | Kathryn Marie Strope | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2018-05-18 |
| 1871006957 | Rebecca Diane Poindexter | Counselor | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2017-11-10 |
| 1558719617 | Midwest Anesthesia Associates, P.C. | Pain Medicine | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 | 2016-05-31 |
| 1316306194 | Kerri A Smith | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2016-02-22 |
| 1386064061 | Kathryn Rushing | Registered Nurse | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2014-04-22 |
| 1780001446 | Susan Hofmann | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2014-03-19 |
| 1114348380 | St Louis Heart and Vascular P.C. | Clinic/Center | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-12-13 |
| 1972845998 | Amanda N Ventimiglia | Nurse Practitioner | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1063967339 | Stephanie Kennedy | Contractor | 5890 Kennerly Ave, Saint Louis, MO 63112-3822 | 2016-08-16 |
| 1407200728 | Desiray Taylor | Contractor | 2318 Woodson Rd, Unit 142324, Saint Louis, MO 63114-5544 | 2016-04-22 |
| 1427422336 | Northlight Development Lp | Contractor | 3414 Hawthorne Blvd, Saint Louis, MO 63104-1623 | 2015-11-17 |
| 1497148845 | Walter Kopecky Jr. | Contractor | 342 Royal Valley Dr, Saint Louis, MO 63141-6653 | 2015-03-10 |
| 1033513692 | Jack Sailor | Contractor | 2206 Lucas Ave Unit 508, Saint Louis, MO 63103-1555 | 2014-10-10 |
| 1649696386 | North American Rural Health Services, Inc. | Contractor | 9245 Watson Industrial Park, Saint Louis, MO 63126-1518 | 2014-03-05 |
| 1609207893 | Shanda Bonner | Contractor | 1504 Park Way Dr, Saint Louis, MO 63130-1245 | 2013-12-12 |
| 1043579063 | Tonia Denise Ambus | Contractor | 10262 Page Ave, Saint Louis, MO 63132-1322 | 2012-05-10 |
| 1700175882 | Marvelous Clark | Contractor | 5923 Theodosia Ave, Saint Louis, MO 63112-3622 | 2011-03-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.