MRS. PHYLLIS NEWSOME WILSON (NPI# 1396396693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396396693 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS NEWSOME WILSON |
| Practice Address |
8423 Empress Ct Charlotte NC 28227 |
| Mailing Address |
8423 Empress Ct Charlotte NC 28227-3624 |
| Practice Telephone | 9802541778 |
| Mailing Telephone | 9802541778 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
NC | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1346452109 | Phyllis Wilson | Specialist | 160 Wilson Dr, Somerset, KY 42503-4595 | 2007-05-04 |
| 1861411316 | Phyllis T Wilson | Marriage & Family Therapist | 2650 Jones Way Ste 21, Simi Valley, CA 93065-1226 | 2006-07-18 |
| 1699801142 | Phyllis Mack Wilson | Physician Assistant | 1604 Medical Dr, Laurinburg, NC 28352-5524 | 2007-02-26 |
| Street Address |
8423 EMPRESS CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134611239 | Alyssa Latonia Rodgers | Counselor | 7512 Spring Spruce Ln, Charlotte, NC 28227 | 2018-06-04 |
| 1114463429 | Andrea Henneberry | Physical Therapy Assistant | 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 | 2017-01-10 |
| 1649726589 | Keba Bosley | Social Worker | 5912 Brightstar Valley Road, Mint Hill, NC 28227 | 2016-08-31 |
| 1710330071 | Carolina Family Services | Community/Behavioral Health | 5737 Old Magnolia Lane, Mint Hill, NC 28227 | 2016-07-21 |
| 1518311901 | Aynsley Girardeau | Optometrist | 7014 Tutor Street, Suite C, Mint Hill, NC 28227 | 2016-04-21 |
| 1487037875 | Shalini Kamodia | Dentist | 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 | 2015-07-02 |
| 1629455720 | Yes We Care Human Services of Mecklenburg County | Adult Companion | 8201 Willowlake Ct, Charlotte, NC 28227 | 2015-04-28 |
| 1841677077 | Hewitt Home Care | Psychiatric Residential Treatment Facility | 2331 Crownpoint Executive Drive, Charlotte, NC 28227 | 2015-04-27 |
| 1467847426 | Marguerita Sitrin Blaker | Psychologist | 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 | 2015-04-06 |
| 1598169724 | Kareem Puranda | Counselor | 5333 Bellflower Ln, Charlotte, NC 28227 | 2014-10-17 |
| Find all providers in zip 28227 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998825 | Shaun Anthony | Technician | 1601 Sansberry Rd, Charlotte, NC 28262-4937 | 2019-12-04 |
| 1679124671 | John Wayne Minter | Technician | 10007 Elsenham Ln, Charlotte, NC 28269-8349 | 2019-09-23 |
| 1760033716 | Frankie Miller Peterson | Technician | 9631 Bales Ln, Charlotte, NC 28227-7083 | 2019-09-20 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
| 1538715800 | Constance Marie Roberts | Technician | 2023 Woodtop Ct, Charlotte, NC 28214-2932 | 2019-08-13 |
| 1609421817 | Meiosha Mcwhorter | Technician | 7637 Lady Liberty Ln, Charlotte, NC 28217-3600 | 2019-08-05 |
| 1619476975 | Kashonna Forney | Technician | 8228 Hornwood Ct, Charlotte, NC 28215-7362 | 2018-02-01 |
| 1770781098 | Teneika Clifton Funderburk | Technician | 6033 Florence Ave Ste 200, Charlotte, NC 28212 | 2007-07-08 |
| 1912406208 | No Place Like Home Support Care | Technician | 8228 Hornwood Ct, Charlotte, NC 28215-7362 | 2018-02-02 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MRS. PHYLLIS NEWSOME 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.