MINDY SMITH WILSON (NPI# 1730273673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730273673 |
| Entity Type | Individual |
| Full Name | MINDY SMITH WILSON |
| Credential | P.A.-C. |
| Practice Address |
1404 Toney Dr Se Huntsville AL 35802-1231 |
| Practice Telephone | 8596088890 |
| Mailing Telephone | 8596088890 |
| Mailing Fax Number | 8596088890 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA996 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
758 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA996 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAID LAB GROUP | 37903705 | 01 |
| KY | MEDICARE LAB GROUP | 4000501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609014570 | Mindy Renee Wilson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2009-01-29 |
| Street Address |
1404 TONEY DR SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083095962 | Lloyd Aschberger | Physician Assistant | 295 Interstate 45 S, Huntsville, TX 77340-4903 | 2015-06-16 |
| 1992100663 | Charles Allen Nagel | Physician Assistant | 534 Fm 2550 Rd, Huntsville, TX 77320-1971 | 2014-10-23 |
| 1801916556 | Michael Robert Ruttle | Physician Assistant | 2507 Lake Rd # 2, Huntsville, TX 77340-5735 | 2007-03-29 |
| 1508935271 | Lanita Reid | Physician Assistant | 2325 Pansy St Sw Ste E, Huntsville, AL 35801-3827 | 2006-11-07 |
| 1922081744 | Kimberly Woods Shipper | Physician Assistant | 100 Memorial Drive, Huntsville, TX 77340 | 2005-11-25 |
| 1770131708 | Austin Laine Dages | Physician Assistant | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2019-09-03 |
| 1407210925 | Huntsville Hospital Spine and Neuro Center | Physician Assistant | 201 Governors Dr Sw, 1st Floor, Huntsville, AL 35801-5170 | 2016-04-11 |
| 1093183592 | Elizabeth Ann Perkins Hayes | Physician Assistant | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2015-09-14 |
| 1588914964 | Sharon Eressie Parker | Physician Assistant | 130 Medical Center Pkwy, Suite 7, Huntsville, TX 77340-4942 | 2012-09-13 |
| 1881940690 | Melissa Lynn Sanchez | Physician Assistant | 125 Medical Park Ln Ste C, Huntsville, TX 77340-4957 | 2012-07-30 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on MINDY SMITH 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.