CHASSITY ANN WILSON (NPI# 1871117242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117242 |
| Entity Type | Individual |
| Full Name | CHASSITY ANN WILSON |
| Credential | APRN |
| Practice Address |
369 N Main St Crestview FL 32536-3541 |
| Practice Telephone | 8503986963 |
| Practice Fax Number | 8503988277 |
| Mailing Telephone | 8503986963 |
| Mailing Fax Number | 8503988277 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN11007041 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
369 N MAIN ST |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-3541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528036696 | Bonnie L. Grundel | Physician Assistant | 369 N Main St, Crestview, FL 32536-3541 | 2006-03-14 |
| 1326607276 | Brittany Marie Arbacheski Fais | Nurse Practitioner | 369 N Main St, Crestview, FL 32536-3541 | 2019-06-12 |
| 1063804722 | Jonathan Aspinwall | Nurse Practitioner | 369 N Main St, Uite A, Crestview, FL 32536-3541 | 2015-03-04 |
| 1790116762 | Main Street Medical Center | Internal Medicine | 369 N Main St, Crestview, FL 32536-3541 | 2013-12-02 |
| 1215184643 | Amy Renee Russell | Registered Nurse | 369 N Main St, Crestview, FL 32536-3541 | 2008-08-27 |
| 1093971061 | Michael P Roberts Md Pa | Internal Medicine | 369 N Main St, Crestview, FL 32536-3541 | 2008-07-30 |
| 1053467001 | Dennis A Stewart | Surgery | 369 N Main St, Crestview, FL 32536-3541 | 2007-01-25 |
| 1699862599 | Joshua Kaleb Kolmetz | Internal Medicine | 369 N Main St, Crestview, FL 32536-3541 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942758446 | Dana Odom | Nurse Practitioner | 131 E Redstone Ave Ste 107, Crestview, FL 32539-5355 | 2016-09-14 |
| 1194347997 | Ceselly Layne Yates | Nurse Practitioner | 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 | 2020-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| 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.