CARISSA WILSON


Address: 27 Park St, Hyannis, MA 02601-5230
Phone: 5087711800

CARISSA WILSON (NPI# 1649765561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649765561
Entity Type Individual
Full Name CARISSA WILSON
Credential PA
Practice Address 27 Park St
Hyannis
MA 02601-5230
Mailing Address 25 Commercial St Apt 507
Braintree
MA 02184-4375
Practice Telephone 5087711800
Mailing Telephone 5633700578
Enumeration Date 2018-06-22
Last Update Date 2019-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 6614 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 27 PARK ST
City HYANNIS
State MA
Zip Code 02601-5230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265430912 Shannon J Scarry Psychiatry & Neurology 27 Park St, Hyannis, MA 02601-5230 2005-07-07
1659989374 Joseph Medeiros Pharmacist 27 Park St, Hyannis, MA 02601-5230 2020-07-20
1962023093 Al Fantasia Respiratory Therapist, Registered 27 Park St, Hyannis, MA 02601-5230 2020-04-29
1134753668 Melanie Reynolds Speech-Language Pathologist 27 Park St, Hyannis, MA 02601-5230 2020-02-24
1245870815 Jason T Wilhelm Nurse Practitioner 27 Park St, Hyannis, MA 02601-5203 2020-01-13
1306486089 Brittany Chambers Physician Assistant 27 Park St, Hyannis, MA 02601-5203 2020-01-10
1871132779 Kimberly Fussell Radiology 27 Park St, Hyannis, MA 02601-5230 2019-12-26
1104487719 Alyssa Horvath Student in an Organized Health Care Education/Training Program 27 Park St, Hyannis, MA 02601-5203 2019-06-25
1881251601 Sarah Barr Kuhn Speech-Language Pathologist 27 Park St, Hyannis, MA 02601-5203 2019-05-28
1225694615 Leah Pacheco Physician Assistant 27 Park St, Hyannis, MA 02601-5230 2019-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356987606 Teodora Veleva Developmental Therapist Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 2019-11-21
1184108912 Erin Lee Rindfuss Social Worker 10 Independence Drive, Hyannis, MA 02601 2018-09-18
1487170312 Emg Laboratory, LLC Psychiatry & Neurology 51 Main St Ste 6, Hyannis, MA 02601 2017-08-22
1528597804 Kaydian Karyl Roberts Behavioral Analyst 767 Independence Dr, Apt D101, Hyannis, MA 02601 2017-06-08
1801338801 Catherine Ode Counselor 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 2016-11-08
1558721191 Harbor Health Services Inc Clinic/Center 735 Attucks Lane, Hyannis, MA 02601 2016-02-24
1285014928 Genesis Rehab Services Skilled Nursing Facility 118 Wayland Road, Hyannis, MA 02601 2015-06-08
1164858742 Ann Alexander Ms Rdn Lrd LLC Dietitian, Registered 500 Ocean St. #39, Hyannis, MA 02601 2013-09-16
1295089803 Janis Sommers Mechanotherapist 677 West Main Street, Harwich, MA 02601 2012-11-05
1962797167 Douglas Mason Counselor 889 West Main St., Hyannis, MA 02601 2011-06-15
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255860474 Elisabeth Ann Macdonald Physician Assistant 51 Main St Ste 2, Hyannis, MA 02601-3109 2017-06-09
1316171853 Jodi J Raher Physician Assistant 46 North St Ste 6, Hyannis, MA 02601-3845 2009-05-13
1184737512 Andrea M. Lyonnais Physician Assistant 89 Lewis Bay Rd Unit 4, Hyannis, MA 02601-5240 2006-08-17
1568437465 Helen M Dalzell Physician Assistant 489 Bearses Way, Unit A-4, Hyannis, MA 02601-2707 2006-02-22
1780218826 Rachel Flynn Physician Assistant 130 North St, Hyannis, MA 02601-3825 2020-02-27
1306486089 Brittany Chambers Physician Assistant 27 Park St, Hyannis, MA 02601-5203 2020-01-10
1225694615 Leah Pacheco Physician Assistant 27 Park St, Hyannis, MA 02601-5230 2019-05-12
1801370440 Shannon Rex Physician Assistant 46 North St, Hyannis, MA 02601-3845 2018-09-19
1306338181 Christina Vandine Physician Assistant 27 Park St, Hyannis, MA 02601-5230 2018-06-06
1568981249 Vincent James Stella IIi Physician Assistant 130 North St, Hyannis, MA 02601-3825 2017-09-14
Find all providers in HYANNIS

Competitor

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City HYANNIS
Zip Code 02601

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Dataset Information

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.

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