JOSHUA BRYAN WILSON SR. (NPI# 1528503885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528503885 |
| Entity Type | Individual |
| Full Name | JOSHUA BRYAN WILSON SR. |
| Credential | NP |
| Practice Address |
375 Park Ave Ste 5 Coos Bay OR 97420-2242 |
| Mailing Address |
1793 13th St Se Salem OR 97302-2541 |
| Practice Telephone | 5412677543 |
| Practice Fax Number | 5033628435 |
| Mailing Telephone | 5033628385 |
| Mailing Fax Number | 5033628435 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201609976NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1793 13th St Se, Salem, OR 973022541 | 5033628385 | 5033628435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295592 | Joshua M Wilson | Chiropractor | 444 Sw Alachua Avenue, Lake City, FL 32025-5213 | 2018-11-28 |
| 1013387273 | Joshua Wilson | Psychologist | 665 Beacon St Ste 300, Boston, MA 02215-3202 | 2015-09-30 |
| 1114263340 | Joshua Michael Wilson | Physical Therapy Assistant | 1204 Pinecroft Dr, Taylors, SC 29687-2234 | 2012-12-15 |
| 1275887689 | Joshua D Wilson | Chiropractor | 14511 N Santa Fe Ave, Edmond, OK 73013 | 2012-11-07 |
| 1770713133 | Joshua Wilson | Physician Assistant | 1008 Sea Biscuit Dr, Indian Trail, NC 28079-5703 | 2009-07-20 |
| 1447373832 | Joshua Bryce Wilson | Dermatology | 6000 University Ave Ste 450, West Des Moines, IA 50266-8229 | 2007-04-09 |
| 1093740821 | Joshua David Wilson | Optometrist | 250 E Elm St, Nashville, IL 62263-1710 | 2006-07-11 |
| 1033775077 | Joshua Abram Wilson | Counselor | 1266 14th St, Oakland, CA 94607-2247 | 2019-05-15 |
| 1023514064 | Joshua Caleb Wilson | Physical Therapist | 1272 Garrison Dr Ste 303, Murfreesboro, TN 37129-0053 | 2018-03-30 |
| 1932639689 | Joshua Brockway Wilson | Obstetrics & Gynecology | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2017-06-15 |
| Street Address |
375 PARK AVE STE 5 |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| 1841564069 | Beverly Diane Wheeler | Pharmacist | 1020 S First Ave, Coos Bay, OR 97420 | 2012-03-06 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073097242 | Shirley Deveere Reynolds | Nurse Practitioner | 998 Inlet Loop, Coos Bay, OR 97420-4446 | 2018-09-24 |
| 1962487108 | Susan Anne Morgan | Nurse Practitioner | 1775 Thompson Rd., Coos Bay, OR 97420-2125 | 2005-12-09 |
| 1346803640 | Sophia Elizabeth Massey | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2019-04-22 |
| 1750857090 | Alaina Therese Hendrix | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-10-14 |
| 1801382155 | Yulia Viktorovna Whidden | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2018-07-10 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1508897778 | Kathryn Kolb Moon | Nurse Practitioner | 1900 Woodland Dr, Urology, Coos Bay, OR 97420-2045 | 2006-07-06 |
| 1063457612 | Angela Renee York | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2006-06-18 |
| 1134174220 | Diane H Todd | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2006-05-24 |
| 1568415081 | Karson Fisher Nasstrom | Nurse Practitioner | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2006-05-18 |
| Find all providers in COOS BAY | ||||
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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.