MRS. KIMBERLY ELLISON WILSON


Address: 1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270
Phone: 2053305266

MRS. KIMBERLY ELLISON WILSON (NPI# 1285826057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285826057
Entity Type Individual
Full Name MRS. KIMBERLY ELLISON WILSON
Credential CRNP
Practice Address 1325 Mcfarland Blvd
Suite 104
Northport
AL 35476-3270
Practice Telephone 2053305266
Practice Fax Number 2053309915
Mailing Telephone 2053305266
Mailing Fax Number 2053309915
Enumeration Date 2007-08-15
Last Update Date 2012-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1-078924 AL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BCBS OF ALABAMA 511-00428 01
AL 115069/1336474964 05

Other Providers KIMBERLY WILSON

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

Office Location

Street Address 1325 MCFARLAND BLVD
SUITE 104
City NORTHPORT
State AL
Zip Code 35476-3270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174504336 Luis Ronald Pernia Specialist 1325 Mcfarland Blvd, Suite 201, Northport, AL 35476-3270 2005-11-07
1780034066 Michael Christopher Jordan Specialist/Technologist 1325 Mcfarland Blvd, Northport, AL 35476-3270 2016-06-16
1073962833 Sarah Clos Specialist/Technologist 1325 Mcfarland Blvd, Northport, AL 35476-3270 2016-06-12
1548643273 Randi Cheree Melton Family Medicine 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2015-06-30
1316320054 Amy Lee Wambolt Student in an Organized Health Care Education/Training Program 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2015-06-30
1275926719 Capstone Health Services Foundation PC Clinic/Center 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2015-03-09
1750798534 Jessica Hester Nurse Practitioner 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 2014-07-14
1487901369 Kyle David Adams Specialist/Technologist 1325 Mcfarland Blvd, Northport, AL 35476-3270 2012-08-09
1689980484 Flh, Inc. Physical Medicine & Rehabilitation 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 2010-08-31
1881841500 April L Coleman Physician Assistant 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 2008-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669942728 Dch Encore Rehabilitation, LLC Clinic/Center Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 2018-12-03
1821592189 Julia Madrid Counselor 1905 4th St Ste 4, Northport, AL 35476 2018-03-21
1740652395 Restoring Piece LLC Community/Behavioral Health 433 Main Avenue, Northport, AL 35476 2015-10-22
1316363740 Alabama Bariatric and Wellness Internal Medicine 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 2014-03-10
1104170406 Kerry Thomas, Hill Chiropractor 1580 Lurleen Wallace Blvd., Northport, AL 35476 2012-11-08
1366794703 Back To Fitness Chiropractor 1580 Lorleen Wallace Blvd., Northport, AL 35476 2012-10-10
1740532357 Andrea Austin Barry Nurse Practitioner 920 Rose Dr., Northport, AL 35476 2012-10-05
1184995953 Julie T Guy Pharmacist 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 2012-01-25
1427280973 Ida Denise Robinson Internal Medicine 2201 Mcfarland Blvd., Northport, AL 35476 2009-08-18
1700017852 Bony F Barrineau Md PC Orthopaedic Surgery 2201 32nd Street, Northport, AL 35476 2009-08-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003432568 Jacqueline Elaine White Nurse Practitioner 3105 31st Ave, Northport, AL 35476-5240 2020-06-22
1164042586 Ashleigh Nicole Morris Nurse Practitioner 800 Energy Center Blvd Apt 3109, Northport, AL 35473-2732 2020-04-26
1033609748 Kara Lynne Pate Nurse Practitioner 5710 Watermelon Rd Ste 600, Northport, AL 35473 2018-05-17
1881046647 Sharon Ann Hawkins Nurse Practitioner 11401 Saint James Ct, Northport, AL 35475-4430 2016-07-05
1629497508 Lauren Hanley Nurse Practitioner 4280 Watermelon Rd Ste 110, Northport, AL 35473 2014-04-08
1356612873 David Clark Bailey Jr. Nurse Practitioner 2810 Lurleen B Wallace Blvd, Northport, AL 35476-3249 2012-01-13
1124113394 Susanne Mills Snider Nurse Practitioner 2810 Lurleen Wallace Blvd, Northport, AL 35476-3249 2006-10-04
1417953092 Mary Anne Dumas Nurse Practitioner Nurse Practitioner, Yellow Primary Care Clinic, Vamc, 76 Middleville Road, Northport, NY 11743 2005-06-28
1790398469 Shelby Leanne Bowden Nurse Practitioner 1325 Mcfarland Blvd Ste 204, Northport, AL 35476-3275 2020-08-24
1598381097 Shelby S Warren Nurse Practitioner 4410 Watermelon Rd, Northport, AL 35473-5204 2020-06-19
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Competitor

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City NORTHPORT
Zip Code 35476

Improve Information

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Dataset Information

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.

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