MRS. REBECCA WILES (NPI# 1750930293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750930293 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA WILES |
| Credential | CRNP |
| Practice Address |
130 W High St Hancock MD 21750-1143 |
| Mailing Address |
13218 Blairs Valley Rd Clear Spring MD 21722-1303 |
| Practice Telephone | 3016787256 |
| Practice Fax Number | 3016786396 |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R209468 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AANP | F08191349 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13218 Blairs Valley Rd, Clear Spring, MD 217221303 | 3048869893 |
| Street Address |
130 W HIGH ST |
| City | HANCOCK |
| State | MD |
| Zip Code | 21750-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538122312 | Meredith Minto Williams | Pediatrics | 130 W High St, Hancock, MD 21750-1143 | 2006-04-11 |
| 1669982872 | Mark Anthony Roncone | Nurse Practitioner | 130 W High St, Hancock, MD 21750-1143 | 2017-10-03 |
| 1518296615 | Liza Dawn Hiles | Family Medicine | 130 W High St, Hancock, MD 21750-1199 | 2009-12-18 |
| 1366491201 | Tri-state Community Health Center, Inc | Clinic/Center | 130 W High St, Hancock, MD 21750-1143 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821644253 | Craig Wesley Hatcher | Pharmacist | 343 N. Pennsylvania Ave., Hancock, MD 21750 | 2019-08-12 |
| 1467501692 | War Memorial Hospital, Inc. | Family Medicine | 351 N Pennsylvania Ave, Hancock, MD 21750 | 2007-01-09 |
| 1528086022 | James H Dolly | Optometrist | 263 N Pennsylvania Avenue, Hancock, MD 21750 | 2006-07-17 |
| 1639654007 | Lora Cole | Registered Nurse | 131 N Pennsylvania Ave, Hancock, MD 21750 | 2018-10-01 |
| 1144260662 | Wheeler's Optical Inc. | Technician/Technologist | 263 N Pennsylvania Ave, Hancock, MD 21750-1042 | 2006-06-07 |
| 1144860396 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 263 N Pennsylvania Ave, Hancock, MD 21750-1042 | 2020-01-15 |
| 1912312760 | Maryland Vision Institute, LLC | Eyewear Supplier (Equipment, not the service) | 263 N Pennsylvania Ave, Hancock, MD 21750-1042 | 2014-06-30 |
| 1114065596 | Rphc LLC | Pharmacy | 343 N Pennsylvania Ave, Hancock, MD 21750-1046 | 2007-02-01 |
| 1235335829 | Amanda Brooke Bauler | Nurse Practitioner | 351 N Pennsylvania Ave, Hancock, MD 21750-1046 | 2007-06-21 |
| 1053515759 | Amy F Hatcher | Pharmacist | 343 N Pennsylvania Ave, Hancock, MD 21750-1046 | 2007-06-14 |
| Find all providers in zip 21750 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336440130 | Bilqees B Abdallah | Nurse Practitioner | 2732 Roods Creek Rd # B-17, Hancock, NY 13783-1855 | 2010-11-10 |
| 1356518872 | Allison Kriner Wade | Nurse Practitioner | 2 Tonoloway St, Hancock, MD 21750-1310 | 2008-05-14 |
| 1700354149 | Jessie Rae Salo | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-11-04 |
| 1669982872 | Mark Anthony Roncone | Nurse Practitioner | 130 W High St, Hancock, MD 21750-1143 | 2017-10-03 |
| 1235335829 | Amanda Brooke Bauler | Nurse Practitioner | 351 N Pennsylvania Ave, Hancock, MD 21750-1046 | 2007-06-21 |
| 1831102045 | Lisa Meyer | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1569 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. REBECCA WILES.
| 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.