AMANDA L WILSON (NPI# 1861002883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861002883 |
| Entity Type | Individual |
| Full Name | AMANDA L WILSON |
| Credential | PEDIATRIC NP |
| Practice Address |
17444 Q Dr N Marshall MI 49068-9418 |
| Practice Telephone | 5172437774 |
| Mailing Telephone | 5172437774 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704264564 | MI | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704264564 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748217 | Amanda R Wilson | Homemaker | 312 Flint St, Haines City, FL 33844-8219 | 2020-01-03 |
| 1861043119 | Amanda L Wilson | Social Worker | 3034 St Armand Rd, Swanton, VT 05488-8737 | 2019-09-26 |
| 1124679899 | Amanda Wilson | Counselor | 3707 Main St # 5, College Park, GA 30337-3544 | 2019-09-24 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1306392238 | Amanda Wilson | Dentist | 2134 State Route 208, Montgomery, NY 12549-2613 | 2016-08-31 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1265887608 | Amanda Wilson | Speech-Language Pathologist | 4031 San Fernando Ln, Saint Charles, MO 63304-2831 | 2016-05-03 |
| 1467825950 | Amanda S Wilson | Licensed Practical Nurse | 5150 Upton Rd N, Columbus, OH 43232-5242 | 2015-11-05 |
| Street Address |
17444 Q DR N |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558764886 | Robin Hogue | Nurse Practitioner | 618 S Grove St Ste 100&300, Marshall, TX 75670-5294 | 2014-10-01 |
| 1609323484 | Amanda Kate Enestvedt | Nurse Practitioner | 1521 Carlson St, Marshall, MN 56258 | 2016-09-08 |
| 1275932634 | Macy Annette Massey | Nurse Practitioner | 2263 Highway 65 North, Marshall, AR 72650 | 2014-08-21 |
| 1659624328 | Joan Turner Billeaud | Nurse Practitioner | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2012-10-18 |
| 1326322975 | Courtney June Blomme | Nurse Practitioner | 300 S Bruce St, Marshall, MN 56258-1934 | 2011-09-30 |
| 1669761235 | Marie Clare Heimerdinger | Nurse Practitioner | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
| 1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
| 1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
| 1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
| 1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
| 1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
| 1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
| 1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.