KIMULA A WILSON (NPI# 1528234085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528234085 |
| Entity Type | Individual |
| Full Name | KIMULA A WILSON |
| Credential | RN, FNP-BC, APNP |
| Practice Address |
5300 W Villard Ave Milwaukee WI 53218-4345 |
| Practice Telephone | 4144386666 |
| Practice Fax Number | 4144386667 |
| Mailing Telephone | 4144386666 |
| Mailing Fax Number | 4144386667 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2011-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
151449-30 | WI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3471-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5300 W VILLARD AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962418236 | Champalal Gupta | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-07-31 |
| 1124576939 | Audra L Hale | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2016-09-21 |
| 1316320724 | Timothy Patrick Kalmer | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2015-07-02 |
| 1316336795 | Lubsey Medical Clinic Inc | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2015-01-22 |
| 1013289164 | Maureen Tsogbe | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2012-02-06 |
| 1306174255 | Erika Lubsey | Obstetrics & Gynecology | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-12-03 |
| 1740423441 | Anatoliy Velikodanov | Registered Nurse | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-04-09 |
| 1366683419 | Anuja M Sheth | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2009-03-19 |
| 1831286129 | Barbara Szopinski | Nurse Practitioner | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-10-06 |
| 1962501593 | V G Lubsey, Md, Sc | Internal Medicine | 5300 W Villard Ave, Milwaukee, WI 53218-4345 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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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.