BONNIE SUE WILSON (NPI# 1821303611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821303611 |
| Entity Type | Individual |
| Full Name | BONNIE SUE WILSON |
| Credential | MSN PMHNP-BC NP |
| Practice Address |
107 S Division St Spokane WA 99202-1510 |
| Practice Telephone | 5098384651 |
| Practice Fax Number | 5093632762 |
| Mailing Telephone | 5098384651 |
| Mailing Fax Number | 5093632762 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2018-05-24 |
| 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 |
AP60175869 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP-999A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12224429 | 01 | |
| ID | REGENCE | 036263 | 01 |
| ID | 1790081032 | 05 | |
| WA | 1821303611 | 05 | |
| ID | BLUE CROSS | 8P321 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 419 N Brushwood Ct, Post Falls, ID 838546764 | 2086919674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437430907 | Bonnie Kay Wilson | Massage Therapist | 321 Rosemont Ct, Roswell, GA 30076-3832 | 2011-08-29 |
| 1447462593 | Bonnie Lee Wilson | Licensed Practical Nurse | 1212 Hanley Rd W, Mansfield, OH 44904 | 2007-05-03 |
| 1912917881 | Bonnie Fons Wilson | Psychologist | 415 W Grand River, East Lansing, MI 48823-4201 | 2006-08-09 |
| 1649720582 | Bonnie B Wilson | Licensed Practical Nurse | 1615 Canal St, Suite B, New Orleans, LA 70112-2819 | 2016-10-04 |
| 1962858480 | Bonnie C Wilson | Dietitian, Registered | 1821 Martin Luther King Pkwy, Durham, NC 27707-6336 | 2016-05-13 |
| 1639585995 | Bonnie Wilson | Dietitian, Registered | 125 Lasalle Rd, West Hartford, CT 06107-2322 | 2014-07-08 |
| 1326368697 | Bonnie Duerr Wilson | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2010-06-09 |
| 1598947210 | Bonnie S Wilson | Physical Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2007-12-04 |
| Street Address |
107 S DIVISION ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495327 | Frontier Behavioral Health | Clinical Nurse Specialist | 107 S Division St, Spokane, WA 99202 | 2005-05-27 |
| 1649887506 | Caroline Bickford | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-25 |
| 1932716891 | Cecelia J Mashburn | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-24 |
| 1386251239 | Taylor Nicole Rush | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-24 |
| 1801402920 | Lydia M Buchanan | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-23 |
| 1396352480 | Rachelle F Ripley | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-23 |
| 1568078285 | William G Longpre | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-17 |
| 1528674249 | Jacquelyn L Poe | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-17 |
| 1396351268 | Holly Buche | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-16 |
| 1881208122 | Brennan Champagne | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| 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 |
|---|---|---|---|---|
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1376104232 | Bethany Ann Heath | Nurse Practitioner | 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 | 2019-06-21 |
| 1467948471 | Nicholas Goodwin | Nurse Practitioner | 1106 W Garland Ave, Spokane, WA 99205-2735 | 2018-07-03 |
| 1770095325 | Erin Ryan | Nurse Practitioner | 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 | 2017-11-03 |
| 1972967305 | Roberta Plunkett | Nurse Practitioner | 140 S. Arthur St., Suite 415, Spokane, WA 99202 | 2016-04-12 |
| 1861815037 | Michael Jude Lynch | Nurse Practitioner | 2136 W Riverside Ave, Spokane, WA 99201-1444 | 2014-01-24 |
| 1245507664 | Korsgaard Mental Health, Inc | Nurse Practitioner | 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220 | 2011-11-30 |
| 1427247410 | Kristin Angelic Miller | Nurse Practitioner | 3711 W Woodside Ave, Spokane, WA 99208-4860 | 2007-10-16 |
| Find all providers in SPOKANE | ||||
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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.