LARIE WILSON (NPI# 1568817922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568817922 |
| Entity Type | Individual |
| Full Name | LARIE WILSON |
| Practice Address |
12959 Jupiter Rd Ste 115 Dallas TX 75238-5223 |
| Mailing Address |
2221 San Simeon Dr Mesquite TX 75181-4646 |
| Practice Telephone | 2144180028 |
| Mailing Telephone | 2144180028 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
12959 JUPITER RD STE 115 |
| City | DALLAS |
| State | TX |
| Zip Code | 75238-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988329 | Clearview Healthcare, Inc | Home Health | 12959 Jupiter Rd Ste 115, Dallas, TX 75238-5223 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
| 1548716848 | Zoom Health Services Inc | Nursing Care | 12959 Jupiter Road Suite 140, Dallas, TX 75238 | 2016-08-28 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1285993477 | Legacy Dental of Mesquite Pllc | Dentist | 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 | 2012-05-09 |
| 1316257710 | T-dental,p.c | Dentist | 9625 Plano Road, 100, Dallas, TX 75238 | 2010-10-19 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1285868448 | Cordial Care Home Health Services Inc | Home Health | 10935 Estate Lane Suite 182, Dallas, TX 75238 | 2009-05-04 |
| 1558514695 | Lisa Camille Simmons | Counselor | 12959 Jupiter Ln, Dallas, TX 75238 | 2008-11-03 |
| Find all providers in zip 75238 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518502848 | Americare Home Health System Inc | Technician | 12989 Jupiter Rd Ste 103, Dallas, TX 75238-5248 | 2019-11-11 |
| 1316597669 | Shahzad Janjooa | Technician | 446 Branch Valley Dr, Dallas, GA 30132-0827 | 2019-09-18 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1083262067 | Danielle Nicole Durman | Technician | 5864 Winding Woods Trl, Dallas, TX 75227-2815 | 2019-09-03 |
| 1164082665 | Paragon Health Care Services Inc | Technician | 9254 Forest Ln Apt 501, Dallas, TX 75243-8905 | 2019-06-17 |
| 1992360127 | David Smithen | Technician | 1910 Bennett Ave Apt 19, Dallas, TX 75206-7394 | 2019-05-02 |
| 1295207082 | Isoberry Homehealth Care Services, LLC | Technician | 4561 S Westmoreland Rd, Dallas, TX 75237-1015 | 2018-12-18 |
| 1568930352 | Dimeshia Brinkley-hunter | Technician | 2305 Jb Jackson Jr Blvd Apt 106, Dallas, TX 75210-2613 | 2018-11-09 |
| 1366910853 | Regina Coleman | Technician | 8559 Honeysuckle Ln, Dallas, TX 75241-6830 | 2018-11-02 |
| 1831678333 | Andrea M Lindsey | Technician | 4341 Horizon North Pkwy Apt 1024, Dallas, TX 75287-2888 | 2018-08-07 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on LARIE 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.