LORI LYN WILSON (NPI# 1427665660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427665660 |
| Entity Type | Individual |
| Full Name | LORI LYN WILSON |
| Practice Address |
12700 Sw 53rd St Mustang OK 73064-7257 |
| Practice Telephone | 4055031073 |
| Mailing Telephone | 4055031073 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205058 | Lori Wilson | Registered Nurse | 5512 Canyon Bluff Ln, Rosharon, TX 77583-2091 | 2019-10-04 |
| 1538401344 | Lori Rhae Wilson | Rehabilitation Practitioner | 1620 Granite Dr, Reno, NV 89509-3997 | 2013-03-19 |
| 1528344611 | Lori A. Wilson | Speech-Language Pathologist | 3830 Paulding Ave., Lavelle School for The Blind, Bronx, NY 10469 | 2011-11-02 |
| 1518274505 | Lori Anne Wilson | Acupuncturist | 3010 5th Ave, San Diego, CA 92103-5841 | 2010-09-11 |
| 1679727010 | Lori N Wilson | Marriage & Family Therapist | 615 Piikoi St., #203, Honolulu, HI 96814 | 2008-11-12 |
| 1629256409 | Lori Sue Wilson | Counselor | 2480 N Palo Verde Blvd, #103, Tucson, AZ 85716-2548 | 2008-02-04 |
| 1134340714 | Lori Anne Wilson | Psychologist | 6602 N. 75th Ave, Glendale, AZ 85303-3536 | 2007-05-01 |
| 1861409203 | Lori S Wilson | Dentist | 2010 Wakefield Ave, Petersburg, VA 23805-2112 | 2006-08-01 |
| 1417970682 | Lori B Wilson | Midwife, Lay | 2211 N Weber St, Colorado Springs, CO 80907-6946 | 2006-07-26 |
| 1548256498 | Lori L Wilson | Surgery | 263 Farmington Ave, Mc 1614, Neag Comprehensive Cancer Center - Surg Onc, Farmington, CT 06030-0001 | 2005-09-26 |
| Street Address |
12700 SW 53RD ST |
| City | MUSTANG |
| State | OK |
| Zip Code | 73064-7257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760149 | Brian Angel Padilla | Student in an Organized Health Care Education/Training Program | 704 N White Tail Way, Mustang, OK 73064 | 2020-05-03 |
| 1346762564 | Mustang Dentistry & Braces | Clinic/Center | 1001 E. Highway 152, Suite 113, Mustang, OK 73064 | 2017-07-10 |
| 1134591779 | James Donald Mcginn IIi | Nurse Practitioner | 738 W. Perry, Mustang, OK 73064 | 2015-10-22 |
| 1912310681 | Jon Austin Barnes | Dentist | 201 S Sara Rd Ste 140, Mustang, OK 73064 | 2014-06-10 |
| 1770996084 | Jennifer Chadd Wilbourn | Dentist | 500 N Financial Center Terrace, Suite D, Mustang, OK 73064 | 2014-06-04 |
| 1003236969 | Okc Dental Health Associates, P.C. | Dentist | 1041 E. Hwy 152, Mustang, OK 73064 | 2014-04-18 |
| 1063834786 | Heather Wagner | Nurse Practitioner | 106 W Highway 152, Mustang, OK 73064 | 2014-01-15 |
| 1053743252 | Misty Renee May | Counselor | 1558 E. Lake Aire Lane, Mustang, OK 73064 | 2013-07-30 |
| 1386901502 | John M Ketcher LLC | Optometrist | 1108 E. Hwy 152, Mustang, OK 73064 | 2012-04-12 |
| 1083995658 | Joseph J Gronigan | Counselor | 627 E Suera Terr., Mustang, OK 73064 | 2011-09-08 |
| Find all providers in zip 73064 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293561 | Jamie Michele Burchard | Peer Specialist | 11129 Sw 38th Cir, Mustang, OK 73064-9269 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
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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.