LISA L WILDER (NPI# 1841311446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841311446 |
| Entity Type | Individual |
| Full Name | LISA L WILDER |
| Credential | N.P. |
| Practice Address |
135 West 3rd Street Cookeville TN 38503-0938 |
| Practice Telephone | 9315262488 |
| Practice Fax Number | 9315266332 |
| Mailing Telephone | 9315262488 |
| Mailing Fax Number | 9315266332 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12727 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902866502 | Lisa Wilder | Specialist/Technologist | 2601 Ferry St, Lafayette, IN 47904-3061 | 2006-03-27 |
| Street Address |
135 WEST 3RD STREET |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38503-0938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497170146 | Reliable Healthcare, Pllc | Clinic/Center | 135 West 3rd Street, Cookeville, TN 38501 | 2014-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154342 | Emily Reynolds | Behavior Technician | 75 E Veterans Dr Apt Q209, Cookeville, TN 38501-5248 | 2020-11-05 |
| 1164039459 | Ben Johnson | Chiropractor | 1265 Interstate Dr Ste 201b, Cookeville, TN 38501-5227 | 2020-09-30 |
| 1710598685 | Ashley Nicole Huddleston | Nurse Practitioner | 1123 West Gate Rd, Cookeville, TN 38501-9410 | 2020-08-13 |
| 1669090163 | Leanne Rice | Behavioral Analyst | 612 Rockwell Dr, Cookeville, TN 38506-4986 | 2020-07-10 |
| 1679190532 | Jaime Phillips | Nurse Practitioner | 1225 Skyline Dr, Cookeville, TN 38506-4336 | 2020-06-26 |
| 1710502851 | Stepping Stones Therapy LLC | Occupational Therapist | 728 S Jefferson Ave Ste 14, Cookeville, TN 38501-4279 | 2020-06-15 |
| 1356966097 | Joelle Marlin | Social Worker | 442 Neal St, Cookeville, TN 38501-4027 | 2020-06-09 |
| 1841815636 | Ravi Ashokkumar Patel | Counselor | 1819 Summerhaven Ave Apt 1, Cookeville, TN 38501-4919 | 2020-06-08 |
| 1932723426 | Lexa Mclauchlin | Specialist/Technologist | 2980 W Haven Dr, Cookeville, TN 38501-5622 | 2020-06-01 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| Find all providers in COOKEVILLE | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824379 | Natashia Melton | Nurse Practitioner | 1271 Walton Ln, Cookeville, TN 38501-1866 | 2018-09-14 |
| 1215414628 | Danny Miller | Nurse Practitioner | 606 E Spring St Ste B, Cookeville, TN 38501-5067 | 2018-07-27 |
| 1851893028 | Sarah Delk | Nurse Practitioner | 105 S Willow Ave Ste 100, Cookeville, TN 38501-4668 | 2018-03-05 |
| 1396102521 | British Bates | Nurse Practitioner | 1644 E Spring St, Cookeville, TN 38506-4317 | 2016-01-19 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1790113553 | Hometown Family Care, LLC | Nurse Practitioner | 675 B South Jefferson Avenue, Cookeville, TN 38501-0950 | 2013-10-14 |
| 1962740217 | Christie Hummel | Nurse Practitioner | 112 N. Walnut Ave, Cookeville, TN 38501 | 2013-01-22 |
| 1922344761 | Grant P Hall | Nurse Practitioner | 1362 Ivy Ln, Cookeville, TN 38501-3057 | 2012-12-26 |
| 1740539063 | Jennifer Lynn Lee | Nurse Practitioner | 4725 Maple Shade Cir, Cookeville, TN 38501-0829 | 2012-08-31 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38503 |
Please comment or provide details below to improve the information on LISA L WILDER.
| 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.