MRS. DIANA LEE WILSON (NPI# 1508137894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508137894 |
| Entity Type | Individual |
| Full Name | MRS. DIANA LEE WILSON |
| Credential | PMHNP-BC |
| Practice Address |
550 Osborn Blvd Ste 1006 Sault Sainte Marie MI 49783-1899 |
| Practice Telephone | 9066352969 |
| Practice Fax Number | 9066353114 |
| Mailing Telephone | 9066352969 |
| Mailing Fax Number | 9066353114 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2013-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704195098 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845980 | Diana E. Wilson | Audiologist | 11 Vandebilt Park Dr, Asheville, NC 28803 | 2015-07-02 |
| 1730571902 | Diana Wilson | Behavioral Analyst | 5827 Perrier St, New Orleans, LA 70115-4333 | 2015-02-25 |
| 1578954673 | Diana Wilson | Marriage & Family Therapist | 550 Toyopa Dr, Pacific Palisades, CA 90272-4469 | 2015-02-10 |
| 1164833653 | Diana Wilson | Non-emergency Medical Transport (VAN) | 6551 Grand River Ave, Detroit, MI 48208-1125 | 2014-05-19 |
| 1528482114 | Diana Lee Wilson | Licensed Practical Nurse | 1170 Nadine Dr, Heath, OH 43056-9233 | 2014-02-18 |
| 1194146613 | Diana Leah Wilson | Dietitian, Registered | 301 Fayetteville St, 2910, Raleigh, NC 27601-1974 | 2013-12-31 |
| 1861521163 | Diana Wilson | Home Health Aide | 156 Navajo Dr, Sardinia, OH 45171-9245 | 2007-03-04 |
| 1962570259 | Diana Lynne Wilson | Marriage & Family Therapist | 611 Arthur St, Novato, CA 94947-4499 | 2006-12-02 |
| 1720159692 | Diana Lorraine Wilson | Obstetrics & Gynecology | 1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256 | 2006-11-13 |
| 1538152400 | Diana Elizabeth Wilson | Neurological Surgery | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2005-08-25 |
| Street Address |
550 OSBORN BLVD STE 1006 |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
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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.