MARY ELLEN WILSON (NPI# 1518191444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518191444 |
| Entity Type | Individual |
| Full Name | MARY ELLEN WILSON |
| Other Name | MARY ELLEN COBB |
| Credential | CNS-BC |
| Practice Address |
3350 Executive Dr Suite 100 San Angelo TX 76904-6878 |
| Practice Telephone | 3252454501 |
| Practice Fax Number | 3252454508 |
| Mailing Telephone | 3252454501 |
| Mailing Fax Number | 3252454508 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2014-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
697182 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| Street Address |
3350 EXECUTIVE DR SUITE 100 |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932139953 | Michael Scott Blanc | Internal Medicine | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2006-07-04 |
| 1619408754 | Melissa Watson | Nurse Practitioner | 3350 Executive Dr, Suite 108, San Angelo, TX 76904 | 2017-03-21 |
| 1023286317 | Kai M Sun | Internal Medicine | 3350 Executive Dr, Suite 100, San Angelo, TX 76904-6878 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568898682 | Lisa Michelle Curry | Clinical Nurse Specialist | 602 S Abe St, San Angelo, TX 76903-6732 | 2013-09-20 |
| 1366739856 | Kristin F Ramirez | Clinical Nurse Specialist | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 | 2011-07-05 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1881602514 | Brandi L Depalma | Clinical Nurse Specialist | 3016 Vista Del Arroyo Dr, San Angelo, TX 76904-6146 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
| 1720699580 | Hermina Maria Ramos | Clinical Nurse Specialist | 3939 Medical Dr Ste 110, San Antonio, TX 78229-2292 | 2020-08-13 |
| 1225667983 | Sonya Alexandra Flanders | Clinical Nurse Specialist | 2001 Bryan St Ste 600, Dallas, TX 75201-3062 | 2020-04-05 |
| 1417505595 | Kathryn Shepperd Martinez | Clinical Nurse Specialist | 8210 Country Side Dr, San Antonio, TX 78209-2234 | 2019-08-31 |
| 1700432473 | Felecia Lashone Washington | Clinical Nurse Specialist | 25903 Laurel Pass, San Antonio, TX 78260-2472 | 2019-08-17 |
| 1265093082 | Stephanie Koepke | Clinical Nurse Specialist | 706 Philmont Rd, Frisco, TX 75036-3672 | 2019-06-24 |
| 1164992152 | Catherine Elizabeth Ward | Clinical Nurse Specialist | 330 Gina Dr, Kyle, TX 78640-6348 | 2018-12-03 |
| 1588139364 | Sharon Nicole Hester | Clinical Nurse Specialist | 3410 Worth St Ste 545, Dallas, TX 75246-2003 | 2018-10-09 |
| 1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
| 1831691260 | Melissa Mcintire Sherrod | Clinical Nurse Specialist | 4401 Vermont Ave, Fort Worth, TX 76115-2615 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on MARY ELLEN WILSON.
| 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.