TAYLOR KM WILDE (NPI# 1740754548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740754548 |
| Entity Type | Individual |
| Full Name | TAYLOR KM WILDE |
| Practice Address |
204 N Main St Enterprise AL 36330-2539 |
| Mailing Address |
41 Pacella Park Dr Randolph MA 02368-1755 |
| Practice Telephone | 3343500711 |
| Mailing Telephone | 7814400400 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
204 N MAIN ST |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281552 | Kelly Garner Gaskins | Behavior Technician | 204 N Main St, Enterprise, AL 36330-2539 | 2020-09-25 |
| 1154938066 | Angela Walker | Behavioral Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2020-09-24 |
| 1790329126 | Erika Nicole Schmidt | Assistant Behavior Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2019-10-29 |
| 1225672645 | Lauren Denham | Behavioral Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2019-10-29 |
| 1649755224 | Nickie Marie Gael | Behavioral Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2018-09-28 |
| 1346742632 | Expressive Beginnings | Behavioral Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2018-03-02 |
| 1013388859 | Selina Browning | Behavioral Analyst | 204 N Main St, Enterprise, AL 36330-2539 | 2015-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1851842629 | Nancy Tikunoff | Counselor | 274 Stone Island Rd, Enterprise, FL 32725-2421 | 2016-10-17 |
| 1578790838 | Lisa Marie Patrick | Counselor | 210 E Grubbs St, Enterprise, AL 36330-2646 | 2009-06-15 |
| 1861637258 | Allen Jean Washington Sr. | Counselor | 51 Children Way, Enterprise, FL 32725 | 2008-12-12 |
| 1265559967 | Reginald B Walker | Counselor | 2861 Neal Metcalf Rd, Enterprise, AL 36330-8003 | 2007-03-26 |
| 1114958733 | Virgil Allen Freet | Counselor | Icas, Inc., 1275 James Drive Suite A, Enterprise, AL 36330 | 2006-07-05 |
| 1427696699 | Hilary Miller | Counselor | 301 W Main St, Enterprise, OR 97828 | 2019-12-18 |
| 1578116653 | Michelle Jewel Mcmillan | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-18 |
| 1215598735 | Kathryn Elizabeth Kemp | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-06-25 |
| 1447746995 | Sonya Goodpaster | Counselor | 1311 Rucker Blvd, Enterprise, AL 36330-3718 | 2018-07-09 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on TAYLOR KM WILDE.
| 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.