MS. THERESA CECELIA WILSON (NPI# 1447481502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447481502 |
| Entity Type | Individual |
| Full Name | MS. THERESA CECELIA WILSON |
| Credential | PNP |
| Practice Address |
210 W 139th St C/o Edward Nichols Md New York NY 10030-2109 |
| Practice Telephone | 2122342121 |
| Practice Fax Number | 2122341759 |
| Mailing Telephone | 2122342121 |
| Mailing Fax Number | 2122341759 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
380137 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02146716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436274 | Theresa Mae Wilson | Registered Nurse | 205 W Park St, Oak Harbor, OH 43449-1239 | 2016-09-26 |
| 1063816916 | Theresa Marie Wilson | Social Worker | 138 Summer St, North Easton, MA 02356-2242 | 2014-10-21 |
| 1295176733 | Theresa Ann Wilson | Social Worker | Milepost 388 Highway 264, Polacca, AZ 86042-4000 | 2013-07-12 |
| 1821362286 | Theresa O'bryan Wilson | Social Worker | 11961 Packets St Nw, Canal Fulton, OH 44614-8453 | 2012-03-02 |
| 1194965244 | Theresa Wilson | Speech-Language Pathologist | 9 Ira Ct, Brooklyn, NY 11229-5985 | 2009-03-03 |
| 1760631592 | Theresa Wilson | Nurse Practitioner | 638 Camino De Los Mares Ste D, Minute Clinic 8882, San Clemente, CA 92673 | 2008-09-17 |
| 1821205444 | Theresa C Wilson | Social Worker | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2007-05-16 |
| 1023151628 | Theresa Wilson | Registered Nurse | 231 Wilson Pike Cir Ste 200, Brentwood, TN 37027-5286 | 2007-02-14 |
| 1780234948 | Theresa Marie Wilson | Case Manager/Care Coordinator | 11512 B Ave, Auburn, CA 95603-2605 | 2019-09-18 |
| 1811479264 | Theresa Lynn Wilson | Occupational Therapist | 508 W Trilby Rd, Fort Collins, CO 80526 | 2018-09-02 |
| Street Address |
210 W 139TH ST C/O EDWARD NICHOLS MD |
| City | NEW YORK |
| State | NY |
| Zip Code | 10030-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251208 | Diana Annmarie Wint | Nurse Practitioner | 210 W 139th St, Basement, New York, NY 10030-2109 | 2006-11-14 |
| 1952476053 | Edward Atkinson Nichols | Pediatrics | 210 W 139th St, New York, NY 10030-2109 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952869695 | Careaide Direct, LLC | Technician | 2368 Adam Clayton Powell Blvd Suite 1f, New York, NY 10030 | 2019-03-12 |
| 1619434073 | Eric E Arnold Mental Health Counseling Private Practice | Counselor | 273 West 138th Street, Unit #2a, New York, NY 10030 | 2019-02-21 |
| 1255794384 | Chavel Pamela Guzman | Counselor | 200 W 143rd St, 17d, New York, NY 10030 | 2016-04-05 |
| 1679973028 | Rachel Mager | Speech-Language Pathologist | 301 W 140th St, New York, NY 10030 | 2014-09-03 |
| 1215353164 | Riley Aponte | Counselor | 318 W 138 #4f, Ny, NY 10030 | 2014-03-14 |
| 1477805141 | Robin Goodwin | Licensed Practical Nurse | 229 West 144th St., 54, Newyork, NY 10030 | 2012-10-05 |
| 1407120892 | Latasha O'bryant | Occupational Therapist | 2574d 8th Avenue, New York, NY 10030 | 2012-03-02 |
| 1205106010 | Dhruv A Shah | Physical Therapist | 131 West 135th St, Lenox Rehab, New York, NY 10030 | 2012-01-10 |
| 1093024283 | Kristin Joy Carothers | Psychologist | 308 West 140th Street, #4, New York, NY 10030 | 2010-10-05 |
| 1134431190 | Melanie Rose Cabatingan | Occupational Therapist | 131 W 135th Street, Lenox Rehabilitation, New York, NY 10030 | 2010-07-07 |
| Find all providers in zip 10030 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1124642061 | Corrinne L Brumit | Nurse Practitioner | 345 W 14th St Apt 6c, New York, NY 10014-5284 | 2020-06-06 |
| 1508400482 | Katherine Jane Ponsoldt | Nurse Practitioner | 529 Broome St Apt 20, New York, NY 10013-6404 | 2019-11-04 |
| 1174183487 | Sarah Winthrop Brown | Nurse Practitioner | 280 Park Ave S Apt 24e, New York, NY 10010-6134 | 2019-06-18 |
| 1043711062 | Lori Sperber | Nurse Practitioner | 10 Union Sq E Ste 5g, New York, NY 10003 | 2018-02-25 |
| 1922514116 | Jung Sin Cho | Nurse Practitioner | 46 Fort Washington Avenue, Suite 2, New York, NY 10032 | 2017-12-26 |
| 1023402401 | Lydia Louise Clark-sumpter | Nurse Practitioner | 2588 7th Ave, Apt 5c, New York, NY 10039-2605 | 2015-03-24 |
| 1487074225 | Hilary Carlson | Nurse Practitioner | 200 E 82nd St Apt 11h, New York, NY 10028-2749 | 2014-04-20 |
| 1922368943 | Nancy De Guzman | Nurse Practitioner | 160 E 32nd St Suite L3-medical, New York, NY 10016-6004 | 2012-05-23 |
| 1366700551 | Anna Aluf | Nurse Practitioner | 1468 Madison Ave Bldg 4th, New York, NY 10029-6508 | 2012-04-25 |
| Find all providers in NEW YORK | ||||
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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.