MRS. KRISTIN A WILSON (NPI# 1679670848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679670848 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN A WILSON |
| Credential | MA, LPC, DTR |
| Practice Address |
710 S Old Middletown Rd Media PA 19063-5024 |
| Mailing Address |
42 Enlow Pl Pennsville NJ 08070-2031 |
| Practice Telephone | 6106199870 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC002406 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037370 | Kristin Wilson | Licensed Practical Nurse | 808 Bishop Ave, Hamilton, OH 45015-2110 | 2019-05-08 |
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1922572353 | Kristin Patricia Wilson | Counselor | 196c E Emmitt Ave, Waverly, OH 45690-1334 | 2019-01-18 |
| 1124240098 | Kristin L Wilson | Physician Assistant | 115 Enon Springs Road East, Smyrna, TN 37167 | 2007-05-02 |
| 1346742343 | Kristin Mannina Wilson | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2018-03-06 |
| 1356857023 | Kristin Jeanne Wilson | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2017-12-18 |
| 1851747596 | Kristin Nicole Wilson | Nurse Practitioner | 2011 4th St, La Grande, OR 97850-2511 | 2016-05-12 |
| 1932534112 | Kristin Wilson | Speech-Language Pathologist | 1870 W Winchester Rd Ste 203, Libertyville, IL 60048-5360 | 2013-09-06 |
| 1275881690 | Kristin Porritt Wilson | Speech-Language Pathologist | 8610 8th Ave Ne, Seattle, WA 98115-3004 | 2012-08-15 |
| 1164715579 | Kristin Leigh Wilson | Pediatrics | 901 E 2nd St Ste 201, Reno, NV 89502 | 2011-05-17 |
| Street Address |
710 S OLD MIDDLETOWN RD |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023517646 | Crozer Keystone Health Center | Clinic/Center | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2018-02-09 |
| 1902276140 | Bria Shelton | Social Worker | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2015-09-30 |
| 1447650452 | Gwendolyn Miles | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2014-08-27 |
| 1578997094 | Kelsey Hart | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2013-09-03 |
| 1043592447 | Raelyn Sprenkle | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2011-09-13 |
| 1568763787 | Michael Williams | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2010-11-04 |
| 1164731840 | Kesia Maria Thomas | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2010-09-29 |
| 1679804165 | Jayleen Galarza | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2010-01-22 |
| 1780917344 | Zakia Rahim | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2009-09-15 |
| 1013152164 | Adrienne Teodoro | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2008-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198350 | Kaitlyn Hughes | Counselor | 1055 E Baltimore Pike Ste 301&303, Media, PA 19063-5173 | 2020-09-10 |
| 1265064125 | Jennifer Kathryn Mccullough | Counselor | 1088 W Baltimore Pike Ste 2403, Media, PA 19063-5166 | 2020-02-09 |
| 1790315000 | Marie Miller | Counselor | 601 N Olive St, Media, PA 19063-2548 | 2020-01-26 |
| 1073158333 | Edward J Friel Iv | Counselor | 206 Northbrook Dr, Media, PA 19063-5124 | 2019-11-11 |
| 1295280592 | Lauren Marie Kossler | Counselor | 318 W Baltimore Ave, 3rd Floor, Media, PA 19063-3601 | 2016-08-17 |
| 1427433481 | Danielle Henderson | Counselor | 107 Chesley Dr Ste 2, Media, PA 19063-1760 | 2015-07-20 |
| 1174907901 | Megan Eileen Stitz | Counselor | 10 W Front St, Media, PA 19063-3306 | 2015-07-10 |
| 1114338878 | Lauren Farley | Counselor | 14 S Orange St, Media, PA 19063 | 2014-05-15 |
| 1053619288 | Taracolleen Macatee | Counselor | 6 Northgate Vlg, Media, PA 19063-2040 | 2011-03-11 |
| 1922304930 | Melissa Christne O'neill | Counselor | 20 S Olive St Ste 202a, Media, PA 19063-3228 | 2011-02-09 |
| Find all providers in MEDIA | ||||
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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.