COURTNEY NICOLE WILSON (NPI# 1407403348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407403348 |
| Entity Type | Individual |
| Full Name | COURTNEY NICOLE WILSON |
| Credential | NP |
| Practice Address |
2222 E State St Ste 209 Rockford IL 61104-1572 |
| Practice Telephone | 8159888500 |
| Practice Fax Number | 8159775956 |
| Mailing Telephone | 8159888500 |
| Mailing Fax Number | 8159775956 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A155984 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.020089 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309712 | Courtney Elizabeth Wilson | Technician | 721 Division St W, Huntington, WV 25701-1743 | 2020-09-08 |
| 1154819308 | Courtney Sublett Wilson | Speech-Language Pathologist | 4641 Locksview Rd, Lynchburg, VA 24503-1935 | 2018-04-24 |
| 1134620990 | Courtney Beth Wilson | Massage Therapist | 363 N University Ave Ste 110, Provo, UT 84601-8425 | 2018-02-26 |
| 1831697838 | Courtney Paige Wilson | Social Worker | 4824 N Damen Ave Apt 401, Chicago, IL 60625-1476 | 2018-01-25 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1548796204 | Courtney J Wilson | Nurse Practitioner | 40 Lambert St Ste 522, Staunton, VA 24401-2446 | 2017-05-02 |
| 1538600937 | Courtney Elyce Wilson | Chiropractor | 1525 Mesa Verde Dr E Ste 113, Costa Mesa, CA 92626-5221 | 2017-03-17 |
| 1699118026 | Courtney Wilson | Home Health Aide | 3085 Clay Pike, Zanesville, OH 43701-8509 | 2013-04-16 |
| 1275820789 | Courtney Nichole Wilson | Rehabilitation Practitioner | 3105 Point Sal Cir, Las Vegas, NV 89128-8102 | 2011-07-05 |
| 1780823161 | Courtney Eller Wilson | Interpreter | 114 S Glenn Dr, Shelby, NC 28152-8004 | 2009-02-09 |
| Street Address |
2222 E STATE ST STE 209 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033543822 | Elizabeth Madlem | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2013-08-28 |
| 1699313825 | Shana Roushia | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-12-18 |
| 1356985063 | Suzanna Kyulule | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-11-05 |
| 1780227124 | Justine Lyn Beaman | Registered Nurse | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-10-17 |
| 1770134371 | Mary Rothwell | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-09-25 |
| 1780232926 | Rebecca Artner | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-08-30 |
| 1811540040 | Michelle Ater | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-07-17 |
| 1821551599 | Olivia Castellanos | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-04-10 |
| 1477016483 | Angel Seehaver | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-04-08 |
| 1942761390 | Jennifer E Henrey | Nurse Practitioner | 2222 E State St Ste 209, Rockford, IL 61104-1572 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138481 | Kelly Ann Twigg | Nurse Practitioner | 5669 Shelley Rd, Rockford, OH 45882-9577 | 2020-09-14 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1124632922 | Catherine Nwosu | Nurse Practitioner | 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 | 2020-08-31 |
| 1790314631 | Toni A Hughart | Nurse Practitioner | 6000 E State St, Rockford, IL 61108-2521 | 2020-04-03 |
| 1578199220 | Keli S Griseta | Nurse Practitioner | 3505 N Bell School Rd, Rockford, IL 61114-6624 | 2020-03-13 |
| 1457986069 | Nicole P Falatic | Nurse Practitioner | 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 | 2020-03-04 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1487110540 | Karrie Hagger | Nurse Practitioner | 7476 Countryshire Ln, Rockford, IL 61107-2774 | 2019-02-13 |
| 1336652700 | Stacey Jo Caler | Nurse Practitioner | 363 Financial Ct Unit 300, Rockford, IL 61107-6671 | 2017-11-08 |
| Find all providers in ROCKFORD | ||||
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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.