KASEY BROOKE WILSON (NPI# 1861880106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861880106 |
| Entity Type | Individual |
| Full Name | KASEY BROOKE WILSON |
| Practice Address |
500 Cloverdale Rd Jacksonville AR 72076-5614 |
| Practice Telephone | 5019823117 |
| Practice Fax Number | 5012412004 |
| Mailing Telephone | 5019823117 |
| Mailing Fax Number | 5012412004 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645991 | Kasey Wilson | Counselor | 3113 S 70th St, Fort Smith, AR 72903-5017 | 2020-03-23 |
| 1235781337 | Kasey Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-07-10 |
| 1801347687 | Kasey Wilson | Counselor | 645 Highway 80 E, Monroe, LA 71203-8527 | 2016-10-17 |
| 1992180749 | Kasey Wilson | Pharmacist | 207 W Butler Rd, Mauldin, SC 29662-2536 | 2015-07-22 |
| 1518275593 | Kasey J. Wilson | Counselor | 5701 Executive Center Dr, Suite 100, Charlotte, NC 28212-8862 | 2010-09-23 |
| Street Address |
500 CLOVERDALE RD |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237729 | Jorja Ruby | Specialist/Technologist | 5140 Gate Pkwy Apt 1108, Jacksonville, FL 32256-0259 | 2020-08-24 |
| 1730737834 | Mandarin Reading Clinic | Specialist/Technologist | 13241 Bartram Park Blvd Unit 913, Jacksonville, FL 32258-5217 | 2019-09-01 |
| 1790965002 | Michelle Mcdonald | Specialist/Technologist | 3839 Robena Rd, Jacksonville, FL 32218-7582 | 2007-11-05 |
| 1225546559 | Karington Kree Lambert | Specialist/Technologist | 9471 Baymeadows Rd Ste 304, Jacksonville, FL 32256-7936 | 2018-01-22 |
| 1538691332 | Leslie Helgeson | Specialist/Technologist | 12025 San Jose Blvd, Jacksonville, FL 32223-1639 | 2017-03-30 |
| 1164688628 | Alison E Cornelius | Specialist/Technologist | 9471 Baymeadows Rd, Suite 304, Jacksonville, FL 32256-7932 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
| 1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
| 1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
| 1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
| 1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
| 1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
| 1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on KASEY BROOKE WILSON.
| 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.