KRISTEN KAROL WILSON (NPI# 1740451350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740451350 |
| Entity Type | Individual |
| Full Name | KRISTEN KAROL WILSON |
| Credential | PMHNP |
| Practice Address |
1225 E Broadway Rd Ste. 240 Tempe AZ 85282-1525 |
| Practice Telephone | 4809295100 |
| Practice Fax Number | 4807311066 |
| Mailing Telephone | 4809295100 |
| Mailing Fax Number | 4807311066 |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2008-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP2733 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548812274 | Kristen Nicole Wilson | Social Worker | 4900 Sw 46th Ct Apt 211, Ocala, FL 34474-6264 | 2019-07-12 |
| 1801452826 | Kristen Wilson | Registered Nurse | 10410 Ben Venue St, Crosby, TX 77532-7006 | 2019-05-15 |
| 1033687231 | Kristen Anne Wilson | Developmental Therapist | 5315 E 9th St, Indianapolis, IN 46219-4305 | 2018-11-06 |
| 1740549112 | Kristen Elizabeth Wilson | Licensed Practical Nurse | 2971 5th Ave, Huntington, WV 25702-1407 | 2012-05-04 |
| 1396975025 | Kristen E. Wilson | Speech-Language Pathologist | 6520 Nw 57th Ln, Parkland, FL 33067-4454 | 2009-07-15 |
| 1295989440 | Kristen Wilson | Psychologist | 1985 Saginaw St S, Salem, OR 97302-5235 | 2008-11-13 |
| 1902419161 | Kristen Wilson | Counselor | 9409 N Haggerty Rd, Plymouth, MI 48170-4696 | 2020-08-27 |
| 1780294900 | Kristen Elizabeth Wilson | Social Worker | 41650 Courthouse Dr Unit 301, Leonardtown, MD 20650-3893 | 2020-08-03 |
| 1235779497 | Kristen E Wilson | Psychologist | 2237 Ridge Rd Ste 101, Rockwall, TX 75087-5161 | 2020-01-15 |
| 1528567906 | Kristen Wilson | Occupational Therapist | 101 Cleveland Ave, Suite, Martinsville, VA 24112 | 2018-02-12 |
| Street Address |
1225 E BROADWAY RD STE. 240 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801910278 | Magellan Health Services of Arizona, Inc. | Case Management | 1225 E Broadway Rd, #240, Tempe, AZ 85282-1525 | 2007-03-19 |
| 1871764746 | Magellan Health Services - Tempe | Case Management | 1225 E Broadway Rd, Tempe, AZ 85282-1525 | 2008-03-18 |
| 1154519585 | Gary Lenzo | Social Worker | 1225 E Broadway Rd, Suite 240, Tempe, AZ 85282-1525 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154585 | Freedom Lounge Pllc | Nurse Practitioner | 209 E Baseline Rd Ste E107, Tempe, AZ 85283-1299 | 2020-04-28 |
| 1003242314 | Christopher Ian Earle | Nurse Practitioner | 1835 E 6th St, Ste 21, Tempe, AZ 85281-2964 | 2013-09-18 |
| 1558542001 | Darlene J Merritt | Nurse Practitioner | 1150 South Forest Avenue #334, Tempe, AZ 85287 | 2007-11-26 |
| 1265654206 | Christina Louise Barnes | Nurse Practitioner | 123 E Baseline Rd Ste D205, Tempe, AZ 85283-1298 | 2007-05-02 |
| 1467069567 | Toni R Crawford-jonas | Nurse Practitioner | 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282-2692 | 2020-09-23 |
| 1699396648 | Brenda Sanchez | Nurse Practitioner | 1642 S Priest Dr Ste 101, Tempe, AZ 85281-6204 | 2020-04-30 |
| 1922647064 | Eugene Frances Grzywacz | Nurse Practitioner | 123 E Baseline Rd Ste D104, Tempe, AZ 85283-1291 | 2020-01-06 |
| 1346899440 | Karl Wick Pmhnp-bc LLC | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-09-10 |
| 1346895992 | James W Flint | Nurse Practitioner | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2019-08-09 |
| 1841850377 | Albert Kenneth Pierce Jr. | Nurse Practitioner | 2120 S Mcclintock Dr Ste 105, Tempe, AZ 85282-2692 | 2019-06-17 |
| Find all providers in TEMPE | ||||
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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.