BRENDA LYNN WILSON (NPI# 1710252663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710252663 |
| Entity Type | Individual |
| Full Name | BRENDA LYNN WILSON |
| Credential | LMT |
| Practice Address |
1390 Oak St Ste 5 Eugene OR 97401-3567 |
| Practice Telephone | 5417436131 |
| Mailing Telephone | 5417436131 |
| Enumeration Date | 2012-03-11 |
| Last Update Date | 2012-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13206 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1578082764 | Brenda Louise Wilson | Technician | 1200 Delaware Ave Sw Apt 704, Washington, DC 20024-3926 | 2017-09-19 |
| 1932655123 | Brenda Wilson | Physician Assistant | 2418 Allegheny Way, Placentia, CA 92870-1404 | 2016-08-29 |
| 1750793485 | Brenda Joyce Wilson | Home Health Aide | 791 E 156th St, Cleveland, OH 44110-3069 | 2014-05-29 |
| 1528367653 | Brenda Michelle Wilson | Counselor | 229 Pollard Rd, Northbridge, MA 01534-1063 | 2011-03-15 |
| 1326379819 | Brenda Joyce Wilson | Counselor | 30 C Street N. E., Miami, OK 74354-3361 | 2010-01-22 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| 1720100464 | Brenda Wilson | Physical Therapist | 100 Robert H. Fiser Dr., Morrilton, AR 72110 | 2007-04-04 |
| 1972130037 | Brenda Louise Wilson | Social Worker | 1008 E Jefferson St, Charlottesville, VA 22902-5328 | 2020-03-26 |
| 1972135275 | Brenda B. Wilson | Counselor | 5022 Campbell Blvd Ste L, Nottingham, MD 21236-4969 | 2020-02-05 |
| Street Address |
1390 OAK ST STE 5 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1811503428 | Steven J Fletcher | Massage Therapist | 505 E 34th Ave, Eugene, OR 97405-3840 | 2020-09-18 |
| 1295350395 | Miriam Newman-paul | Massage Therapist | 260 Oakway Ctr, Eugene, OR 97401-5663 | 2020-06-15 |
| 1063043057 | Rachel Loraine Klemmer | Massage Therapist | 1789 Camelot Ave, Eugene, OR 97404-2689 | 2020-01-29 |
| 1801426838 | David Levin | Massage Therapist | 3575 Donald St Ste 620, Eugene, OR 97405-4775 | 2020-01-17 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1962046235 | Dawn Cypress Broadnax | Massage Therapist | 150 Shelton Mcmurphey Blvd Ste 207, Eugene, OR 97401-5015 | 2019-10-30 |
| 1568013050 | Cassie Cowen | Massage Therapist | 1601 Willamette St # 2, Eugene, OR 97401-4013 | 2019-09-25 |
| Find all providers in EUGENE | ||||
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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.