MRS. TANESHIA MICHELLE WILSON (NPI# 1659823839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659823839 |
| Entity Type | Individual |
| Full Name | MRS. TANESHIA MICHELLE WILSON |
| Other Name | TANESHIA MICHELLE DAVIS |
| Practice Address |
1111 W Wisconsin St Sparta WI 54656 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6082691588 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7415 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1616 E Roosevelt Rd Ste 8, Wheaton, IL 601876850 | 6305881201 |
| Street Address |
1111 W WISCONSIN ST |
| City | SPARTA |
| State | WI |
| Zip Code | 54656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104114 | Jon M Williamson | Optometrist | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2005-06-15 |
| 1972001881 | Carmen Alyssa Adams | Physician Assistant | 1111 W Wisconsin St, Sparta, WI 54656 | 2018-01-25 |
| 1912439639 | Christopher J Tookey | Family Medicine | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2017-03-31 |
| 1962943084 | Ashley Stalter | Counselor | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2017-03-09 |
| 1326395195 | Krysta Ann Bever | Physical Therapist | 1111 W Wisconsin St, Sparta, WI 54656 | 2012-08-10 |
| 1912228859 | Candace M Hundt | Physical Therapist | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2010-06-15 |
| 1619158151 | Donna Jean Kettner | Social Worker | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2007-11-26 |
| 1235171836 | Gundersen Clinic, Ltd. | Clinic/Center | 1111 W Wisconsin St, Sparta, WI 54656 | 2006-06-11 |
| 1578518346 | Gundersen Clinic, Ltd. | Clinic/Center | 1111 W Wisconsin St, Sparta, WI 54656 | 2006-05-23 |
| 1831157114 | Kelly Janell Fehrenbacher | Internal Medicine | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193367 | Renata Jachna | Counselor | 46 Main St Ste 402, Sparta, NJ 07871-1910 | 2019-09-12 |
| 1205346889 | Caryn Dambra | Counselor | 172 Woodport Rd Ste D, Sparta, NJ 07871-2610 | 2017-10-09 |
| 1609399625 | Vicki Lynn Riley | Counselor | 14301 County Highway B Bldg A19, Sparta, WI 54656-0044 | 2017-07-21 |
| 1629511787 | Shonteria Russell | Counselor | 755 Millers Point Rd, Sparta, TN 38583-1236 | 2016-11-22 |
| 1578010674 | Lakeside Counseling Associates, LLC | Counselor | 350 Sparta Ave Ste C2a, Sparta, NJ 07871-1123 | 2016-09-06 |
| 1275994899 | Danah Rumble | Counselor | 200 Woodport Rd Ste B, Sparta, NJ 07871-2628 | 2016-03-09 |
| 1568891646 | Lois Ferguson | Counselor | 10 Poplar Tree Ln, Sparta, NJ 07871-2317 | 2013-11-08 |
| 1184065666 | Jennifer L Murphy | Counselor | 1 E Bockman Way Rm 205, Sparta, TN 38583-2034 | 2013-07-11 |
| 1932341625 | Anthony Lombardo | Counselor | 24 Cottage Ln, Sparta, NJ 07871-4000 | 2009-03-27 |
| 1578719357 | Linda Jeanne Rooney | Counselor | 8 Megan Terr., Sparta, NJ 07871 | 2008-08-13 |
| Find all providers in SPARTA | ||||
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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.