DOUGLAS VAN WILSON (NPI# 1407417538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407417538 |
| Entity Type | Individual |
| Full Name | DOUGLAS VAN WILSON |
| Credential | CRNP |
| Practice Address |
47344 Us Highway 78 Lincoln AL 35096-6748 |
| Mailing Address |
1130 22nd St S Ste 1000 Birmingham AL 35205-2881 |
| Practice Telephone | 2057637848 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-107799 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730260969 | Douglas Smith Wilson | Chiropractor | 2615 S Miller St Ste 108, Santa Maria, CA 93455-1775 | 2006-10-17 |
| 1164533345 | Douglas W Wilson | Dentist | 100 River Place, Suite 110, Madison, WI 53716 | 2006-08-31 |
| 1285693572 | Douglas Richard Wilson | Family Medicine | 1141 Pear Tree Lane, Suite 100, Napa, CA 94558-6485 | 2006-03-23 |
| 1346235702 | Douglas C. Wilson | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2005-09-13 |
| 1235138876 | Douglas J Wilson | Optometrist | 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 | 2005-07-15 |
| 1083101422 | Douglas Alan Wilson | Pharmacist | 1814 Spring Rd, Carlisle, PA 17013-1150 | 2018-04-20 |
| 1174833750 | Douglas Alan Wilson | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2010-10-15 |
| 1467658369 | Douglas Eugene Wilson | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2007-06-26 |
| 1679797260 | Douglas Glen Wilson | Emergency Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-04-13 |
| 1518087154 | Douglas K. Wilson | Physical Therapist | 1217 S Greeley Hwy Ste A, Cheyenne, WY 82007-3063 | 2007-03-29 |
| Street Address |
47344 US HIGHWAY 78 |
| City | LINCOLN |
| State | AL |
| Zip Code | 35096-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548244 | John P Cimino | Obstetrics & Gynecology | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2005-12-14 |
| 1053614735 | Amy C Ledbetter | Nurse Practitioner | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2010-12-17 |
| 1306162250 | Milka Elena Martinez Arache | Internal Medicine | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2010-04-18 |
| 1154424695 | Stanley W. Jett | Family Medicine | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2006-09-07 |
| 1497869556 | Brenda P Bynum | Nurse Practitioner | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2006-08-18 |
| 1770547804 | Baptist Health Centers, LLC | Family Medicine | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962959874 | Crystal Renee Rogers | Nurse Practitioner | 1800 Honda Drive, Talladega, AL 35096 | 2016-09-08 |
| 1508096199 | Emily Ruth Webster | Behavioral Analyst | 140 Joe St, Lincoln, AL 35096 | 2009-07-17 |
| 1952433872 | Amanad Divine | Pharmacist | 99 Magnolia South, Lincoln, AL 35096 | 2007-03-09 |
| 1396826939 | Freds Stores of Tennessee Inc | Pharmacy | 47950 Us Hwy 78, Lincoln, AL 35096 | 2006-10-18 |
| 1699704197 | April L Ponder | Family Medicine | 1100 Patton Chapel Rd, Lincoln, AL 35096 | 2006-06-30 |
| 1023047529 | Mark E Ponder | Family Medicine | 1100 Patton Chapel Rd, Lincoln, AL 35096 | 2006-06-30 |
| 1780752402 | Lincoln Ems | Ambulance | 82 Mclain Ave, Lincoln, AL 35096-0172 | 2006-12-01 |
| 1043227044 | Lincoln Pharmacy Inc | Pharmacy | 99 Magnolia St S, Lincoln, AL 35096-0200 | 2006-08-02 |
| 1477105583 | Tishunna Carter | Technician, Pathology | 409 Howard Cir, Lincoln, AL 35096-3551 | 2019-07-10 |
| 1861980823 | Melodie Dawn Crawford | Counselor | 325 Eastland Dr, Lincoln, AL 35096-4061 | 2018-04-25 |
| Find all providers in zip 35096 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837899 | Kristine Ellen Follett | Nurse Practitioner | 5900 Spruce St, Lincoln, NE 68516-1425 | 2020-09-27 |
| 1023623451 | Kayla Hallock | Nurse Practitioner | 3740 N 27th St Ste 1, Lincoln, NE 68521-4162 | 2020-09-11 |
| 1831708817 | Lillie Lueke | Nurse Practitioner | 1021 N 27th Street, Lincoln, NE 68503-1803 | 2020-07-27 |
| 1881202950 | Angela Marie Tuzson | Nurse Practitioner | 1336 W A St Ste A, Lincoln, NE 68522-1231 | 2020-07-15 |
| 1235755182 | Chanda Lynn Nunnenkamp | Nurse Practitioner | 5715 S 34th St # 400, Lincoln, NE 68516-6648 | 2020-06-17 |
| 1043861560 | Corinne Elizabeth Young | Nurse Practitioner | 3900 Pine Lake Rd # 5, Lincoln, NE 68516-5489 | 2019-09-25 |
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1184192346 | Melany Dawn Murray | Nurse Practitioner | 2510 S 40th St Ste 100, Lincoln, NE 68506-2408 | 2018-11-06 |
| 1154803765 | Amy Lynn Bokowski | Nurse Practitioner | 7430 Poplar Rd, Lincoln, NE 68506-4651 | 2018-08-30 |
| 1407333701 | Kara Alyse Walker | Nurse Practitioner | 3741 Faulkner Dr Apt 214, Lincoln, NE 68516-4755 | 2018-07-19 |
| Find all providers in LINCOLN | ||||
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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.