MISS KRISTINE ANN WILSON (NPI# 1376917393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376917393 |
| Entity Type | Individual |
| Full Name | MISS KRISTINE ANN WILSON |
| Credential | BS |
| Practice Address |
3771 San Jose Pl Ste 22 Jacksonville FL 32257-2439 |
| Practice Telephone | 9049280112 |
| Mailing Telephone | 9049280112 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346775863 | Kristine D Wilson | Counselor | 15256 Three Rivers Rd, Biloxi, MS 39532-8066 | 2017-04-21 |
| 1457565228 | Kristine Marie Wilson | Occupational Therapy Assistant | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2007-05-10 |
| 1801302393 | Kristine Elizabeth Wilson | Anesthesiology | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2017-12-19 |
| 1487913000 | Kristine Lynne Wilson | Counselor | 21 North Station Plaza, Copay Inc., Great Neck, NY 11021 | 2012-05-16 |
| Street Address |
3771 SAN JOSE PL STE 22 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902227085 | Kristina M Brown | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2013-12-17 |
| 1801268057 | Mariah Michelle Fiore | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2015-10-28 |
| 1093186819 | Amy Jean Potter | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2015-10-20 |
| 1073904124 | Arlisia Jones | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2015-02-11 |
| 1275924706 | Michele Laster | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2015-02-05 |
| 1306241302 | Carrie Anne Fuchs | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2014-11-03 |
| 1760886493 | Ashley Talbot | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2014-10-09 |
| 1154723401 | Chrystal Ramos | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2014-09-18 |
| 1770983512 | Nicalyn Lubin | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2014-08-29 |
| 1871992024 | Gwenivere Love | Developmental Therapist | 3771 San Jose Pl Ste 22, Jacksonville, FL 32257-2439 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1710543897 | Angela Marie Simons | Developmental Therapist | 14030 Ivylgail Dr N, Jacksonville, FL 32225-2024 | 2019-05-14 |
| 1861954950 | Darnise Lashelle Price | Developmental Therapist | 18 Woodbriar Dr, Jacksonville, AR 72076-5365 | 2019-04-05 |
| 1255804977 | Christina Maton | Developmental Therapist | 11041 Ridge Point Dr, Jacksonville, FL 32257-3717 | 2019-01-04 |
| 1811415847 | Kimberly Armstrong | Developmental Therapist | 1206 Turtle Creek Dr. S, Jacksonville, FL 32218 | 2017-08-30 |
| 1407395205 | Mary Christina Bush | Developmental Therapist | 1274 Surfway Ct, Jacksonville, FL 32233-2241 | 2017-02-14 |
| 1922554575 | Lavoris Andrew Mobley | Developmental Therapist | 9000 Cypress Green Drive, Jacksonville, FL 32256 | 2016-09-01 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1134676711 | Katelyn Luksha | Developmental Therapist | 6867 Southpoiont Drive North, Jacksonville, FL 32216 | 2016-09-01 |
| 1780057794 | Nicole Terry | Developmental Therapist | 3610 N Ride Dr, Jacksonville, FL 32223-7489 | 2015-11-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.