JAMIE WILSON (NPI# 1740697077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740697077 |
| Entity Type | Individual |
| Full Name | JAMIE WILSON |
| Credential | AGPCNP-BC |
| Practice Address |
121 Saint Lukes Center Dr Suite 504 Chesterfield MO 63017-3509 |
| Practice Telephone | 3142056399 |
| Practice Fax Number | 3145905909 |
| Mailing Telephone | 3142056399 |
| Mailing Fax Number | 3145905909 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2014022928 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313223 | Jamie Sueann Wilson | Massage Therapist | 240 Harwood Rd Ste 3, Bedford, TX 76021-4189 | 2020-10-09 |
| 1295360071 | Jamie E Wilson | Case Manager/Care Coordinator | 1270 Peeks Ford Rd Se, Conyers, GA 30013-2944 | 2020-03-11 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1740684729 | Jamie Wilson | Nurse Practitioner | 24 White Bridge Pike, Nashville, TN 37205-1411 | 2014-10-20 |
| 1770913832 | Jamie Wilson | Counselor | 5001 Plainfield Ave Ne Ste B, Grand Rapids, MI 49525-1050 | 2013-11-26 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1457578411 | Jamie Linn Wilson | Registered Nurse | 15244 County Road 3, Frazeysburg, OH 43822-9622 | 2007-04-19 |
| 1164057808 | Jamie Wilson | Neurological Surgery | 4242 Farnam St Ste 550, Omaha, NE 68131-2813 | 2020-03-03 |
| 1962052746 | Jamie C Wilson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2019-09-13 |
| 1205489630 | Jamie Lynn Wilson | Social Worker | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-24 |
| Street Address |
121 SAINT LUKES CENTER DR SUITE 504 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387510 | James E Walentynowicz | Orthopaedic Surgery | 121 Saint Lukes Center Dr, Ste 302, Chesterfield, MO 63017-3509 | 2005-06-24 |
| 1679014146 | Palliative Care At St Lukes LLC | Internal Medicine | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 | 2017-03-16 |
| 1356889182 | Kaitlin Doneff | Registered Nurse | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3518 | 2017-01-31 |
| 1225586936 | Anita Detchemendy | Nurse Practitioner | 121 Saint Lukes Center Dr, Suite 506, Chesterfield, MO 63017-3518 | 2016-09-12 |
| 1306222518 | Chesterfield Valley Internal Medicine & Pediatrics LLC | Pediatrics | 121 Saint Lukes Center Dr, Attn: Rick Sonne, Chesterfield, MO 63017-3509 | 2015-08-11 |
| 1225446644 | Derrick Neuner | Specialist/Technologist | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3509 | 2014-07-29 |
| 1013329150 | Physician Affiliates of St. Luke's Medical Group, LLC | Family Medicine | 121 Saint Lukes Center Dr, Chesterfield, MO 63017-3518 | 2014-05-23 |
| 1073930780 | Dianna Gaffner | Nurse Practitioner | 121 Saint Lukes Center Dr, Suite 406, Chesterfield, MO 63017-3509 | 2014-03-20 |
| 1053756296 | Heart Health Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017-3518 | 2013-05-01 |
| 1275875908 | Daniel Michael Marion | Internal Medicine | 121 Saint Lukes Center Dr, Suite 402, Chesterfield, MO 63017-3518 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| 1376097469 | Admir Brkic | Nurse Practitioner | 14554 Pembury Dr, Chesterfield, MO 63017-2535 | 2016-08-07 |
| 1457719866 | Ashley Lauren Schneider | Nurse Practitioner | 17205 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2016-02-01 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1396156659 | Mandie De Vincentis | Nurse Practitioner | 15379 Red Willow Ct, Chesterfield, MO 63017-5426 | 2014-05-08 |
| 1063774875 | Tamara Eyvette Tomlin | Nurse Practitioner | 14805 North Outer Rd, 320, Chesterfield, MO 63017-2221 | 2012-06-08 |
| 1205149366 | Cathy M Coleman | Nurse Practitioner | 224 S Woods Mill Rd Ste 620s, Chesterfield, MO 63017-3619 | 2010-07-19 |
| 1720238645 | Sabrina Renea Brown-oliver | Nurse Practitioner | 500 Ward Ave, Chesterfield, NJ 08515-2928 | 2008-09-28 |
| 1215197082 | Talisha Ladonna Watts | Nurse Practitioner | 34390 Country Meadow Rd, Chesterfield, MI 48047-3161 | 2008-06-14 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.