MRS. TERESA LYNNE WILSON (NPI# 1861614109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861614109 |
| Entity Type | Individual |
| Full Name | MRS. TERESA LYNNE WILSON |
| Credential | PA-C |
| Practice Address |
1315 W Main Ave Ste 13a Alton TX 78573-1642 |
| Mailing Address |
801 E Nolana Ave Ste 13a Mcallen TX 78504-6112 |
| Practice Telephone | 9564320222 |
| Practice Fax Number | 9565832226 |
| Mailing Telephone | 9566862700 |
| Mailing Fax Number | 9566862708 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | PA01815 | TX | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA01815 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 01815 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 285326902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643036 | Teresa Wilson | Licensed Practical Nurse | 41 Farm St, Danbury, CT 06811-4612 | 2020-06-16 |
| 1386291326 | Teresa Ann Wilson | Technician | 7104 Arborcrest Dr., Dallas, TX 75232-4010 | 2019-08-23 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1700140480 | Teresa Ann Wilson | Rehabilitation Practitioner | 3150 S Nellis Blvd Apt 1189, Las Vegas, NV 89121-7537 | 2012-06-27 |
| 1457492027 | Teresa Ann Wilson | Nurse Practitioner | 3961 Hillman Ave, Montefiore School Health Clinic, Bronx, NY 10463-3001 | 2007-02-08 |
| 1568515773 | Teresa D Wilson | Registered Nurse | 105 Belview Rd, Leesville, LA 71446-2902 | 2007-01-19 |
| 1750325833 | Teresa K Wilson | Nurse Anesthetist, Certified Registered | 3354 Chantarene Dr, Pensacola, FL 32507-3549 | 2006-06-16 |
| 1023507456 | Teresa Wilson | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2018-05-01 |
| 1295222446 | Teresa Wilson | Counselor | 1 North St, Randolph, MA 02368-4614 | 2018-04-13 |
| 1245682392 | Teresa Lynn Wilson | Counselor | 6302 Thirteenth Avenue, Lucerne, CA 95458 | 2016-07-12 |
| Street Address |
1315 W MAIN AVE STE 13A |
| City | ALTON |
| State | TX |
| Zip Code | 78573-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477399 | Andrew Hoseung Ryu | Dentist | 4322 N Conway Ave., Ste 104, Palmhurst, TX 78573 | 2019-06-26 |
| 1700302460 | Viva Phc, LLC | Home Health | 2802 E Bluebonnet Ln, Mission, TX 78573 | 2017-08-15 |
| 1780070201 | Bc Corp Pllc | Dentist | 228 E 3 Mile Rd, Ste 101, Palmhurst, TX 78573 | 2015-04-10 |
| 1487064465 | El Rancho Adult Day Care | Clinic/Center | 1905 W 3 Mile Rd., Ste. 1600 & 1700, Mission, TX 78573 | 2014-04-30 |
| 1902237597 | Well-care Rx & Dme, LLC | Durable Medical Equipment & Medical Supplies | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573 | 2013-12-06 |
| 1417380825 | H-e-b, Lp | Clinical Medical Laboratory | 120 East Mile 3rd Road, Palmhurst, TX 78573 | 2013-08-21 |
| 1841532975 | C-pharmrx,llc | Pharmacy | 1315 West Main Avenue, Suite 13b, Alton, TX 78573 | 2013-03-27 |
| 1548509466 | Palli-med Hospice LLC | Hospice Care, Community Based | 1310 E. Main Ave, Suite B, Alton, TX 78573 | 2013-02-13 |
| 1144568957 | Julio Cesar Bravo | Nurse Practitioner | 2001 W. 3 Mile Rd., Suite 2500, Mission, TX 78573 | 2013-01-29 |
| 1447597653 | Alton Childrens Care Clinic, P.a. | Pediatrics | 8115 North Los Ebanos Road, Alton, TX 78573 | 2013-01-08 |
| Find all providers in zip 78573 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538613336 | Kimberlee J Coppelli | Physician Assistant | 4 Memorial Dr Ste 130b, Alton, IL 62002-6751 | 2016-08-09 |
| 1104247741 | Alexandria Ruzicka | Physician Assistant | 4411 Alby Street, Alton, IL 62002 | 2013-12-29 |
| 1356988273 | Clair Laurent Visconti | Physician Assistant | 1 Memorial Dr, Alton, IL 62002-6722 | 2019-12-10 |
| 1679091474 | Courtney M Guebert | Physician Assistant | 4 Memorial Dr Ste 130b, Alton, IL 62002 | 2017-09-01 |
| 1861914368 | Paige Crouch Hamilton | Physician Assistant | 4411 Alby St, Alton, IL 62002-5916 | 2017-07-17 |
| 1912432766 | John Conti | Physician Assistant | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2017-04-28 |
| 1942758081 | Brennan Malham | Physician Assistant | 1 Memorial Dr, Alton, IL 62002-6722 | 2016-09-19 |
| 1891104824 | Alton-griffin Emergency Group PC | Physician Assistant | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2014-08-04 |
| 1417372772 | Mary Stuart | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2014-02-24 |
| 1750716726 | Lyndsi K Sievers | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2013-09-10 |
| Find all providers in ALTON | ||||
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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.