MS. CALLIE WILSON (NPI# 1578784385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578784385 |
| Entity Type | Individual |
| Full Name | MS. CALLIE WILSON |
| Credential | ARNP |
| Practice Address |
412 Lilly Rd Ne Olympia WA 98506-5132 |
| Mailing Address |
3043 Central St Se Olympia WA 98501-3627 |
| Practice Telephone | 3607865581 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30000546 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS9600255 | 05 |
| Street Address |
412 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457483422 | Thurston County | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-03-12 |
| 1730444910 | Bonnie Louise Peterson | Registered Nurse | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2012-07-12 |
| 1366653685 | Jean E Gowen | Physician Assistant | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-25 |
| 1467669002 | Linda D Jacobsen | Nurse Practitioner | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-16 |
| 1184831828 | Thurston County Public Health & Social Services | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-16 |
| 1992912638 | Thurston County Public Health & Social Services | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-16 |
| 1326261975 | Thurston County Public Health & Social Services | Public Health or Welfare | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-04-11 |
| 1619099843 | Diana T Yu | General Practice | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598272221 | Alisa Faye Hemmersbach | Nurse Practitioner | 5512 Anton Ct Se, Olympia, WA 98501-5104 | 2018-01-03 |
| 1902834781 | Margaret D Zimmerman | Nurse Practitioner | 2411 Pacific Ave Se, Olympia, WA 98501-2048 | 2006-06-29 |
| 1902264856 | Stephanie Mitchell | Nurse Practitioner | 209 Lilly Rd Ne, Olympia, WA 98506 | 2016-02-07 |
| 1174854764 | Kathryn Mary Burrell | Nurse Practitioner | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2010-01-20 |
| 1124284484 | Nicole Hugie Terry | Nurse Practitioner | 413 Lilly Rd Ne, Pmg Sw Wa Psph Hospitalists, Olympia, WA 98506-5133 | 2008-08-05 |
| 1093979940 | Scott L. Archer | Nurse Practitioner | 413 Lilly Rd Ne, Providence St Peter Hosp - PC, Olympia, WA 98506-5133 | 2008-07-10 |
| 1508055435 | Lynn Marie Okita | Nurse Practitioner | 525 Lilly Rd Ne Ste 250, Olympia, WA 98506 | 2007-10-16 |
| 1841405982 | Ewh Inc | Nurse Practitioner | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2007-05-11 |
| 1447479134 | Caitlin F Rodman | Nurse Practitioner | 3425 Ensign Rd Ne Ste 220, Pmg Sw Wa South Sound Internal Medicine, Olympia, WA 98506-5063 | 2007-04-24 |
| 1558427732 | Melonie K. Rockwell | Nurse Practitioner | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-29 |
| Find all providers in OLYMPIA | ||||
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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.