MR. SHALOM TAHNEE WILSON (NPI# 1659900611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659900611 |
| Entity Type | Individual |
| Full Name | MR. SHALOM TAHNEE WILSON |
| Credential | LPN |
| Practice Address |
[email protected] 118 Pine Street Rochester NY 14445 |
| Mailing Address |
Shalom Wilson 118 Pine Street Rochester NY 14445 |
| Practice Telephone | 5853294306 |
| Mailing Telephone | 5853294306 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 337636 | NY | Nursing Service Providers |
| Street Address |
[email protected] 118 PINE STREET |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114329646 | Yuliya Doobkowa | Licensed Practical Nurse | 90 Pine Street, East Rochester, NY 14445 | 2014-09-16 |
| 1417207325 | Rachel Ann Lowry | Specialist/Technologist | 231 East Spruce Street, East Rochester, NY 14445 | 2012-09-18 |
| 1700077443 | Heritage Christian Services Inc | Home Health | 349 West Commercial Street, Suite 2795, East Rochester, NY 14445 | 2007-08-07 |
| 1669449468 | Scott David Coon | Chiropractor | 465 W Commercial St, E Rochester, NY 14445 | 2006-03-01 |
| 1750373783 | Matthew Stoutenburg | Physical Therapist | 59 Perinton Hills Shopping Ctr, Fairport, NY 14445 | 2005-08-16 |
| 1144229097 | Karen Napierala | Physical Therapist | 161 East Commercial St, Rochester, NY 14445 | 2005-07-21 |
| 1891272902 | Jeffrey Mcquay | Occupational Therapist | 73 Lincoln Mills Rd, East Rochester, NY 14445-1068 | 2018-07-20 |
| 1104308352 | Live Fall Free LLC | Occupational Therapist | 73 Lincoln Mills Rd, East Rochester, NY 14445-1068 | 2018-09-04 |
| 1477881076 | Caitlin A Burke | Licensed Practical Nurse | 226 Magnolia Ave, East Rochester, NY 14445-1304 | 2009-11-20 |
| 1225161318 | Tina Terese Brown-carter | Technician/Technologist | 333 1/2 N Garfield Avenue, East Rochester, NY 14445-1315 | 2007-03-14 |
| Find all providers in zip 14445 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
| 1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
| 1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
| 1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
| 1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
| 1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
| 1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
| 1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
| 1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
| Find all providers in ROCHESTER | ||||
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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.