MICHELLE WILSON (NPI# 1417487331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417487331 |
| Entity Type | Individual |
| Full Name | MICHELLE WILSON |
| Practice Address |
520 S Eagle Rd Meridian ID 83642-6351 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2087060217 |
| Mailing Telephone | 2083812616 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-36744 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426372 | Michelle Wilson | Dietitian, Registered | 4972 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2070 | 2020-04-25 |
| 1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
| 1639733371 | Michelle Marie Wilson | Occupational Therapist | 540 N State St Apt 2605, Chicago, IL 60654-7236 | 2019-04-29 |
| 1821576257 | Michelle Nicole Barker Wilson | Counselor | 2525 King Louis Dr, Jacksonville, FL 32254-6220 | 2018-07-28 |
| 1679000434 | Michelle Wilson | Physical Therapist | 711 River Rd, Yardley, PA 19067-1965 | 2017-05-11 |
| 1689048043 | Michelle A Wilson | Licensed Practical Nurse | 1289 Warwick St, Uniondale, NY 11553-1324 | 2015-11-23 |
| 1447528286 | Michelle J Wilson | Pharmacist | 1066 Laurel Creek Dr, Chesterton, IN 46304-9607 | 2011-12-07 |
| 1013200633 | Michelle Lynne Wilson | Pharmacist | 138 N 5th St, Steubenville, OH 43952-2128 | 2011-05-16 |
| 1548496557 | Michelle Wilson | Nurse Practitioner | 1901 S. Shady Street, Mountain City, TN 37683 | 2009-06-04 |
| 1598887606 | Michelle Morfin Wilson | Nurse Practitioner | 9500 Euclid Ave # M-14, Cleveland, OH 44195-0001 | 2007-04-06 |
| Street Address |
520 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697749 | Ashley Weiss | Social Worker | 973 S Brook Trout Way, Meridian, ID 83642-7745 | 2020-10-21 |
| 1962019513 | Jessica Rose Crocker-oswald | Social Worker | 13 E Ada Ave, Meridian, ID 83642-2725 | 2020-09-28 |
| 1578034690 | Alexis Staeb | Social Worker | 3023 E Copper Point Dr Ste 105, Meridian, ID 83642-9290 | 2018-12-16 |
| 1730697111 | Brittany A Baker | Social Worker | 1944 Old Wire Rd, Meridian, MS 39301-8321 | 2018-01-18 |
| 1386155810 | Caitlin Elizabeth Lanier | Social Worker | 1833 S Millenium Way, Meridian, ID 83642-1510 | 2017-10-24 |
| 1841716511 | June Ellen Boucher | Social Worker | 1287 E Drucker St, Meridian, ID 83642-4031 | 2017-08-15 |
| 1639605694 | Joshua Randall Grade | Social Worker | 1322 W Verbena Dr, Meridian, ID 83642-1238 | 2017-05-11 |
| 1417333469 | Jennifer Kopec | Social Worker | 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 | 2015-07-31 |
| 1265838601 | Amanda Sue Helsley | Social Worker | 3525 E. Louise Dr. Suite 500, Meridian, ID 83642 | 2014-11-12 |
| 1912307737 | Stephanie Abney | Social Worker | 524 E Havasu Falls St, Meridian, ID 83646-6397 | 2014-08-28 |
| Find all providers in MERIDIAN | ||||
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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.