KIMBERLY GRACE WILSON (NPI# 1811375801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811375801 |
| Entity Type | Individual |
| Full Name | KIMBERLY GRACE WILSON |
| Credential | CSTFA |
| Practice Address |
1155 Mill St Reno NV 89502-1576 |
| Mailing Address |
1950 Carlin St Reno NV 89503-4023 |
| Practice Telephone | 7759824280 |
| Mailing Telephone | 8303134403 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1265905038 | Kimberly Ann Wilson | Speech-Language Pathologist | 658 Lions Gate Ln, Odenton, MD 21113-1490 | 2019-01-04 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| Street Address |
1155 MILL ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405456 | Phyllis Joyce Ager | Radiology | 1155 Mill St, Mail Code L11, Reno, NV 89502-1576 | 2005-05-27 |
| 1245830405 | Melissa Kimberly Herrera | Technician | 1155 Mill St, Reno, NV 89502-1576 | 2020-10-27 |
| 1386250298 | Corinne Elizabeth Canavero | Nurse Practitioner | 1155 Mill St, Reno, NV 89502-1576 | 2020-09-17 |
| 1457969479 | Cory Lankford | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2020-07-15 |
| 1710500947 | Dana Robinson | Occupational Therapist | 1155 Mill St, Reno, NV 89502-1576 | 2020-05-21 |
| 1376162495 | Erin Miranda Madsen | Registered Nurse | 1155 Mill St, Reno, NV 89502-1576 | 2020-04-09 |
| 1568092336 | Jodi Danielson | Home Health | 1155 Mill St, Reno, NV 89502-1576 | 2020-01-21 |
| 1184266298 | Janeen Lou Ibarreta | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2019-10-09 |
| 1558914465 | Jasmine Ghuman | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-19 |
| 1205498987 | Unr | Clinic/Center | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518185909 | Michael S. Jackson | Specialist/Technologist, Other | 2739 Chavez Dr, Reno, NV 89502-4982 | 2007-04-23 |
| 1487163135 | Kristy Lee Torres | Specialist/Technologist, Other | 235 W 6th St, Reno, NV 89503-4548 | 2017-09-26 |
| 1003214909 | Sierra Surgical Assisting | Specialist/Technologist, Other | 2739 Chavez Dr, Reno, NV 89502-4982 | 2014-12-09 |
| 1073817862 | Wolf Surgical First Assisting | Specialist/Technologist, Other | 1155 Mill St, Reno, NV 89502-1576 | 2011-01-07 |
| 1821398850 | Kerry Lynn Schroeder | Specialist/Technologist, Other | 6630 S Mccarran Blvd, Suite #20, Reno, NV 89509-6145 | 2010-10-25 |
| 1912218413 | Christopher Anthony Young | Specialist/Technologist, Other | 40 Sunridge Ct E, Reno, NV 89511-5743 | 2010-06-29 |
| 1487790192 | Rebecca L Wolf | Specialist/Technologist, Other | 1155 Mill St, Reno, NV 89502-1576 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908541 | Katarzyna Sobol | Specialist/Technologist, Other | 933 Jill Marie Ln, Fernley, NV 89408-3205 | 2019-12-09 |
| 1932753019 | Maria Josefina Olivar Mata | Specialist/Technologist, Other | 5271 Sunny Beach Ln, Las Vegas, NV 89118-1391 | 2019-07-28 |
| 1750853495 | Isaac Raphael Rhino | Specialist/Technologist, Other | 10739 Knickerbocker Ave, Las Vegas, NV 89166-8009 | 2018-12-19 |
| 1184107203 | Shannon Leigh Filger | Specialist/Technologist, Other | 702 Derby Ct, Carson City, NV 89703-4586 | 2018-09-13 |
| 1073026506 | Daisel Guevara | Specialist/Technologist, Other | 3080 Greendale St, Las Vegas, NV 89121-2715 | 2017-11-07 |
| 1073038626 | Yasmin Mauro | Specialist/Technologist, Other | 7205 Almerta Ave, Las Vegas, NV 89178-8032 | 2017-08-04 |
| 1093242349 | Heather Gamez | Specialist/Technologist, Other | 8930 W Sunset Rd Ste 140, Las Vegas, NV 89148-5009 | 2017-05-17 |
| 1083075980 | Christopher G Gastelum Sr. | Specialist/Technologist, Other | 1748 Victor Hugo Ln, Las Vegas, NV 89115-8231 | 2016-03-19 |
| 1912364092 | Jeremy Taylor | Specialist/Technologist, Other | 1050 Whitney Ranch Dr Apt 216, Henderson, NV 89014-2541 | 2016-01-20 |
| 1639583131 | Vern Palmer | Specialist/Technologist, Other | 522 Rancho Del Norte Dr, North Las Vegas, NV 89031-2814 | 2014-06-12 |
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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.