MRS. DAVIDA ANN WILSON (NPI# 1689947004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689947004 |
| Entity Type | Individual |
| Full Name | MRS. DAVIDA ANN WILSON |
| Credential | FNP-C |
| Practice Address |
600 S State Road 57 Washington IN 47501-4371 |
| Practice Telephone | 8122571052 |
| Practice Fax Number | 8129967649 |
| Mailing Telephone | 8122571052 |
| Mailing Fax Number | 8124011267 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2020-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71003870A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003870A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA LICENSE | 710003870A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487073565 | Davida E Yarbrough Wilson | Family Medicine | 6000 W Highway 98, Pensacola, FL 32512-1414 | 2014-04-16 |
| Street Address |
600 S STATE ROAD 57 |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114183555 | David Nicholas Dahl | Family Medicine | 600 S State Road 57, Ste A, Washington, IN 47501-4371 | 2008-08-05 |
| 1295124857 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 600 S State Road 57, Suite A, Washington, IN 47501-4371 | 2015-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
| 1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
| 1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
| 1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
| 1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
| 1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
| Find all providers in zip 47501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1184222754 | Aimee Elizabeth Westmore | Nurse Practitioner | 7701 26 Mile Rd, Washington, MI 48094-2804 | 2020-10-15 |
| 1649877416 | Rachel Maurine Caudle | Nurse Practitioner | 1504 Kern Rd, Washington, IL 61571-2318 | 2020-10-05 |
| 1922615236 | Erica Stickney | Nurse Practitioner | 532 E Beau St, Washington, PA 15301-3608 | 2020-09-30 |
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669086278 | Morgan Marie Weisz | Nurse Practitioner | 1809 Monroe St Ne, Washington, DC 20018-2735 | 2020-09-01 |
| 1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| 1174136345 | Sarah King | Nurse Practitioner | 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 | 2020-08-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
Please comment or provide details below to improve the information on MRS. DAVIDA ANN WILSON.
| 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.