JENNIFER MCQUADE WILSON (NPI# 1659627578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659627578 |
Entity Type | Individual |
Full Name | JENNIFER MCQUADE WILSON |
Credential | LMT |
Practice Address |
1153 Ne Cleveland St Clearwater FL 33755-4815 |
Mailing Address |
3232 Coventry N Safety Harbor FL 34695-4807 |
Practice Telephone | 7275996772 |
Mailing Telephone | 7275996772 |
Enumeration Date | 2012-07-29 |
Last Update Date | 2012-07-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA37275 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
Street Address |
1153 NE CLEVELAND ST |
City | CLEARWATER |
State | FL |
Zip Code | 33755-4815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861858987 | Leslie S Coley | Specialist | 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 | 2016-01-05 |
1336567981 | Trish French | Social Worker | 117 N Betty Ln, Clearwater, FL 33755 | 2014-04-01 |
1255629986 | Gulf Coast Occupational & Wellness Center, P.C. | Clinic/Center | 1407 Gulf -to-bay Blvd., Clearwater, FL 33755 | 2011-07-15 |
1346560729 | Narconon Suncoast, Inc | Substance Abuse Rehabilitation Facility | 1390 Sunset Point Road, Clearwater, FL 33755 | 2010-06-08 |
1588994503 | Rose Mary Baker | Custodial Care Facility | 1305 Woodbine St, Clearwater, FL 33755 | 2010-01-14 |
1407185317 | Ade Kanmbi Alaba | Pharmacist | 1438 Gulf-to-bay Blvd, Clearwater, FL 33755 | 2009-12-24 |
1184706921 | Brandy Jo Jennings | Dental Hygienist | 1455 Sunset Point Road, Clearwater, FL 33755 | 2006-10-20 |
1922013408 | Hays S Estes Dpt Pllc | Clinic/Center | 1661 Rainbow Dr, Clearwater, FL 33755 | 2006-07-30 |
1932145323 | Eric Isaac Egozi | Plastic Surgery | 1608 Gulf To Bay Blvd, Clearwater, FL 33755 | 2006-06-22 |
1053304022 | Robert Donnelly | Orthopaedic Surgery | 1660 Gulf To Bay Blvd, Clearwater, FL 33755 | 2005-08-25 |
Find all providers in zip 33755 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740893676 | Anthony Johnson | Massage Therapist | 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 | 2020-08-29 |
1326689795 | Jesse Sprague | Massage Therapist | 2561 Harn Blvd Unit 6, Clearwater, FL 33764-5133 | 2019-10-07 |
1508381948 | Michelle Alexandria Brown | Massage Therapist | 2431 Estancia Blvd Ste A2, Clearwater, FL 33761-2608 | 2017-08-07 |
1114442597 | Candy Kibert | Massage Therapist | 2637 Mccormick Dr Ste 102, Clearwater, FL 33759-1034 | 2017-08-07 |
1720485576 | Claude Hooten IIi | Massage Therapist | 641 1/2 Mandalay Ave, Clearwater, FL 33767-1523 | 2014-11-21 |
1972924397 | Melissa Elaine Loera | Massage Therapist | 2936 Drew St, Apt. 1323, Clearwater, FL 33759-3055 | 2014-01-02 |
1578903779 | Susan Marie Pelletier | Massage Therapist | 721 Lakeview Rd, Suite E, Clearwater, FL 33756-3422 | 2013-07-02 |
1629354329 | Cathy Friedman-kamhi | Massage Therapist | 16 N Fort Harrison Ave, Clearwater, FL 33755-4015 | 2011-10-25 |
1558640375 | Steven Charles Lund | Massage Therapist | 1514 Midnight Pass Way, Clearwater, FL 33765-1818 | 2011-08-10 |
1255628293 | Deonna Lea Bouska | Massage Therapist | 18542 Driftwood Rd, Clearwater, MN 55320-1617 | 2011-06-28 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33755 |
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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.