THERESA LYNN WILSON (NPI# 1376899351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376899351 |
| Entity Type | Individual |
| Full Name | THERESA LYNN WILSON |
| Credential | PA-C |
| Practice Address |
8118 Good Luck Rd Lanham MD 20706-3574 |
| Mailing Address |
122 Lafayette Ave Laurel MD 20707-4512 |
| Practice Telephone | 3015528118 |
| Mailing Telephone | 3014985990 |
| Mailing Fax Number | 3014986576 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0001801 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436274 | Theresa Mae Wilson | Registered Nurse | 205 W Park St, Oak Harbor, OH 43449-1239 | 2016-09-26 |
| 1063816916 | Theresa Marie Wilson | Social Worker | 138 Summer St, North Easton, MA 02356-2242 | 2014-10-21 |
| 1295176733 | Theresa Ann Wilson | Social Worker | Milepost 388 Highway 264, Polacca, AZ 86042-4000 | 2013-07-12 |
| 1821362286 | Theresa O'bryan Wilson | Social Worker | 11961 Packets St Nw, Canal Fulton, OH 44614-8453 | 2012-03-02 |
| 1194965244 | Theresa Wilson | Speech-Language Pathologist | 9 Ira Ct, Brooklyn, NY 11229-5985 | 2009-03-03 |
| 1760631592 | Theresa Wilson | Nurse Practitioner | 638 Camino De Los Mares Ste D, Minute Clinic 8882, San Clemente, CA 92673 | 2008-09-17 |
| 1821205444 | Theresa C Wilson | Social Worker | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2007-05-16 |
| 1023151628 | Theresa Wilson | Registered Nurse | 231 Wilson Pike Cir Ste 200, Brentwood, TN 37027-5286 | 2007-02-14 |
| 1780234948 | Theresa Marie Wilson | Case Manager/Care Coordinator | 11512 B Ave, Auburn, CA 95603-2605 | 2019-09-18 |
| 1811479264 | Theresa Lynn Wilson | Occupational Therapist | 508 W Trilby Rd, Fort Collins, CO 80526 | 2018-09-02 |
| Street Address |
8118 GOOD LUCK RD |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149632 | Moustafa S Shamma | Emergency Medicine | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2005-07-28 |
| 1366040529 | Katrina Frederika Borden | Nurse Anesthetist, Certified Registered | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-10-11 |
| 1972121812 | Tinuke Akinade | Registered Nurse | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-07-08 |
| 1629606561 | Karen Denise Bowie | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-03-27 |
| 1649805540 | Barbara Andrade | Physical Therapist | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-03-11 |
| 1487299673 | Saffie Bangura | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-11-11 |
| 1922640408 | Yvette Gomez | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-10-16 |
| 1578105326 | Asong Benanzea-fontem | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-10-14 |
| 1548818891 | Paradigm Staffing LLC | Specialist/Technologist, Other | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-08-29 |
| 1184183337 | Judith Lee | Nurse Anesthetist, Certified Registered | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164899084 | Marlene L Adore-lewis | Physician Assistant | 7404 Executive Pl Ste 300b, 300b, Lanham, MD 20706-6215 | 2015-08-26 |
| 1619113347 | Stephanie R Chisley | Physician Assistant | 9311 Annapolis Rd, Lanham, MD 20706-3103 | 2008-12-30 |
| 1811449143 | Rachel Yj Ko | Physician Assistant | 8116 Good Luck Rd Ste 305, Lanham, MD 20706-3508 | 2016-11-03 |
| 1649665209 | Dana Sharifi | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2015-03-31 |
| 1174921142 | Debreaka Posey | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2014-12-08 |
| 1669878807 | Zheng Chen | Physician Assistant | 8118 Good Luck Road, Lanham, MD 20706-3574 | 2014-11-17 |
| 1891198149 | Desalegn Abraham | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2014-10-01 |
| 1073856969 | Zuriashwork T Damtew | Physician Assistant | 8118 Good Luck Rd, Doctors Community Medical Group LLC, Lanham, MD 20706-3574 | 2013-03-29 |
| 1154615938 | Patricia Abernathy-clark | Physician Assistant | 7404 Executive Pl, 502, Lanham, MD 20706-2268 | 2011-06-08 |
| 1033427240 | Bethlehem Sisay | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2010-09-22 |
| Find all providers in LANHAM | ||||
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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.