ELIZABETH WILSON (NPI# 1336523158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336523158 |
| Entity Type | Individual |
| Full Name | ELIZABETH WILSON |
| Practice Address |
4300 Cascade Rd Se Grand Rapids MI 49546-8328 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162521500 |
| Practice Fax Number | 6162521599 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704248988 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942836556 | Elizabeth Wilson | Dietitian, Registered | 937 S 3rd St Apt A, Columbus, OH 43206-2542 | 2020-03-15 |
| 1437799012 | Elizabeth E Wilson | Social Worker | 2917 N Highland Ave, Jackson, TN 38305-3407 | 2020-01-10 |
| 1760023543 | Elizabeth Wilson | Technician | 157 Lee Road 215, Phenix City, AL 36870-8849 | 2019-10-03 |
| 1992356968 | Elizabeth Wilson | Social Worker | 5236 Meadowdale St, Metairie, LA 70006-3926 | 2019-09-21 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1023573755 | Elizabeth Wilson | Dietitian, Registered | 8424 4th St N, Saint Petersburg, FL 33702-3659 | 2019-02-06 |
| 1467989111 | Elizabeth Wilson | Technician | 1216 Granby St Ste 7, Norfolk, VA 23510-2622 | 2017-05-12 |
| 1841643947 | Elizabeth Wilson | Contractor | 3511 Legation St Nw, Washington, DC 20015-1715 | 2016-07-13 |
| 1073913091 | Elizabeth Wilson | Counselor | 102 Attu Rd, Seaside, CA 93955-6600 | 2014-08-27 |
| 1093080541 | Elizabeth L. Wilson | Nurse Practitioner | 2225 U S Highway 41 N, Tifton, GA 31794 | 2012-03-16 |
| Street Address |
4300 CASCADE RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597419 | Keith Thomas Crocker | Orthopaedic Surgery | 4300 Cascade Rd Se, Ste 103, Grand Rapids, MI 49546-3631 | 2005-06-10 |
| 1538633615 | Sarah R Lutz | Nurse Practitioner | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2019-01-11 |
| 1972007771 | Kayle Ann Lavictoire | Rehabilitation Hospital | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2018-03-19 |
| 1750884136 | Ashley Danielle Mckee | Physical Medicine & Rehabilitation | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2018-03-13 |
| 1083020036 | Anusha Kumbam | Internal Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546 | 2014-07-09 |
| 1619269222 | Brian Joseph Hinkley | Family Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2011-05-15 |
| 1639353071 | K. Thomas Crocker, D.o., P.C. | Orthopaedic Surgery | 4300 Cascade Rd Se, Suite 103, Grand Rapids, MI 49546-3631 | 2007-12-20 |
| 1386827137 | David G Frye PC | Orthopaedic Surgery | 4300 Cascade Rd Se, Suite 103, Grand Rapids, MI 49546-3631 | 2007-12-14 |
| 1023125473 | Jennifer Anne Cory | Internal Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2006-08-23 |
| 1003859299 | Kristi Kern | Family Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-3631 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253654 | Caleb S Parks | Nurse Practitioner | 1911 Hutchinson Ave Se, Grand Rapids, MI 49506-4614 | 2020-10-20 |
| 1689271272 | Karen J Goehring | Nurse Practitioner | 625 Kenmoor Ave Se Ste 115, Grand Rapids, MI 49546-2395 | 2020-10-06 |
| 1043859846 | Erika J Mehney | Nurse Practitioner | 2136 Chesaning Dr Se, Grand Rapids, MI 49506-5311 | 2019-12-27 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1104460633 | Margaret Masters | Nurse Practitioner | 2749 Brooklyn Ave Se, Grand Rapids, MI 49507-3938 | 2019-10-28 |
| 1366085474 | Jenna Shoemaker | Nurse Practitioner | 139 Manzana Ct Nw Apt 3b, Grand Rapids, MI 49534-7124 | 2019-10-21 |
| 1073163846 | Jo-leighanne Marie Pascoe | Nurse Practitioner | 555 Midtowne St Ne Ste 400, Grand Rapids, MI 49503-5731 | 2019-09-13 |
| 1710531686 | Emily Wilson | Nurse Practitioner | 445 Mulford Dr Se, Grand Rapids, MI 49507-3568 | 2019-07-30 |
| 1245882703 | Rebecca Lauren Veneklase | Nurse Practitioner | 143 Lane Ave Sw, Grand Rapids, MI 49504-6172 | 2019-07-15 |
| 1871151613 | Nicole Spratling | Nurse Practitioner | 1000 East Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2019-06-05 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on ELIZABETH 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.