MRS. MELINDA DILLARD WILSON (NPI# 1700859386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700859386 |
| Entity Type | Individual |
| Full Name | MRS. MELINDA DILLARD WILSON |
| Credential | ATC |
| Practice Address |
2631 Temple Ave N Fayette AL 35555-1157 |
| Mailing Address |
128 Allyn Trce Winfield AL 35594-6261 |
| Practice Telephone | 8006483271 |
| Practice Fax Number | 2059322153 |
| Mailing Telephone | 2054877080 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
037 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720426489 | Melinda Rachel Wilson | Specialist | 18618 Rayen St, Northridge, CA 91324-4030 | 2013-06-04 |
| 1942402946 | Melinda Wilson | Physical Therapy Assistant | 5999 Bibb Court, North Port, FL 34288 | 2007-06-01 |
| 1780764555 | Melinda Bautista Wilson | Dentist | 1233 N Vermont Ave Ste 5, Los Angeles, CA 90029-1749 | 2006-10-16 |
| 1588159370 | Melinda Wilson | Student in an Organized Health Care Education/Training Program | 1333 Willow Pass Rd Ste 102, Concord, CA 94520-5225 | 2018-06-25 |
| 1205328846 | Melinda R Wilson | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2018-05-30 |
| 1942625215 | Melinda Wilson | Registered Nurse | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2014-02-24 |
| 1710949581 | Melinda Kay Wilson | Radiology | 311 Straight St, Radiology Department, Cincinnati, OH 45219 | 2006-04-05 |
| Street Address |
2631 TEMPLE AVE N |
| City | FAYETTE |
| State | AL |
| Zip Code | 35555-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213021 | Brittany Nicole Pate | Pharmacist | 3186 Al-171 N, Fayette, AL 35555 | 2020-07-24 |
| 1942703020 | The Language Lab | Clinic/Center | 111 Columbus Street East, Fayette, AL 35555 | 2018-03-14 |
| 1407292709 | Lana Langley | Speech-Language Pathologist | 111 Columbus St E, Fayette, AL 35555 | 2013-05-14 |
| 1992096275 | Wendy Dawn Benton | Nurse Practitioner | 122 17th Court Ne, Fayette, AL 35555 | 2011-04-21 |
| 1699004929 | Patricia Lorraine Montgomery | Counselor | 123 2nd Avenue, Nw, Fayette, AL 35555 | 2009-12-16 |
| 1184826398 | Charles Thomas Webster | Pharmacist | 1116 2nd Ave Ne, Fayette Square Shopping Center, Fayette, AL 35555 | 2007-06-01 |
| 1114060381 | Fayette County Health Dept Adult Immun | Public Health or Welfare | 211 First Street, N.w., Fayette, AL 35555 | 2007-02-15 |
| 1356433064 | Dana Suzette Norris | Nurse Practitioner | 1653 Temple Ave N Ste 1, Fayette, AL 35555 | 2006-09-29 |
| 1992788871 | Air Evac Ems Inc | Ambulance | 108 21st St Ne, Fayette, AL 35555 | 2005-11-23 |
| 1255656112 | Debbie Kilgore Yerby | Pharmacist | 1716 Temple Avenue North, Fayette, AL 35555 | 2010-04-05 |
| Find all providers in zip 35555 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464415 | Takuya Suzuki | Specialist/Technologist | 400 Jones St, Fayette, IA 52142-9180 | 2019-05-30 |
| 1306364997 | Kyle James Domin | Specialist/Technologist | 605 Washington Street, Fayette, IA 52142 | 2017-09-02 |
| 1114372752 | Ryan Scott Fonkert | Specialist/Technologist | 605 Washingtone Street, Fayette, IA 52142 | 2016-05-02 |
| 1952399776 | Rick Errett Sage | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2005-10-06 |
| 1992335806 | Kailyn Weber | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1801426713 | Noah Mathias Rogers | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1447880356 | Caitlin Himes | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1730726951 | Jeanette Ellen Leal | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2019-12-06 |
| 1346734423 | Kimberly Mikulan | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2018-06-21 |
| 1013429851 | Kelsey Nicole Stuenkel | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| Find all providers in FAYETTE | ||||
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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.