MRS. BEVERLY ANN WILSON (NPI# 1902044753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902044753 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY ANN WILSON |
| Credential | RN |
| Practice Address |
1 Cumberland Pl Suite 108 Bangor ME 04401-5083 |
| Practice Telephone | 2079909000 |
| Practice Fax Number | 2079418645 |
| Mailing Telephone | 2079909000 |
| Mailing Fax Number | 2079418645 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
42487 | ME | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023552817 | Beverly N Wilson | Physician Assistant | 12038 Ocean Gateway, Unit 1, Ocean City, MD 21842 | 2016-12-13 |
| 1720386451 | Beverly Wilson | Massage Therapist | 700 Dalrymple Rd, 203, Atlanta, GA 30328-1414 | 2011-03-03 |
| 1811173719 | Beverly K Wilson | Counselor | 3425 Francis St, Jackson, MI 49203-5052 | 2008-01-10 |
| 1316158017 | Beverly Wilson | Social Worker | 8400 East Prentice Avenue, Suite 1401, Greenwood Village, CO 80111-2926 | 2007-05-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1457336521 | Beverly Deann Wilson | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2005-12-13 |
| 1811449895 | Beverly Wilson | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2016-10-26 |
| 1376908194 | Beverly Belk Wilson | Nurse Practitioner | 6840 Glenwood Ave, Raleigh, NC 27612-7133 | 2015-12-21 |
| 1942693429 | Beverly Wilson | Community Health Worker | 1230 2nd Ave, Columbus, GA 31901-5241 | 2015-03-09 |
| 1306248372 | Beverly Anne Wilson | Registered Nurse | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2014-09-22 |
| Street Address |
1 CUMBERLAND PL SUITE 108 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467486720 | E. Dennis Marasco | Counselor | 1 Cumberland Pl, Suite 104, Bangor, ME 04401-5083 | 2006-07-10 |
| 1871847103 | Restoration Health LLC | Clinic/Center | 1 Cumberland Pl, Suite 114, Bangor, ME 04401-5083 | 2012-11-08 |
| 1174883839 | Amy E. Allen | Physical Therapist | 1 Cumberland Pl, Bangor, ME 04401-5083 | 2012-05-29 |
| 1528293735 | Kayla Ann Parent | Dental Hygienist | 1 Cumberland Pl, Suite 116, Bangor, ME 04401-5083 | 2009-05-18 |
| 1174763395 | Nancy Grant Aylward | Registered Nurse | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2009-02-27 |
| 1801036355 | Laura Lee Guzman | Registered Nurse | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2009-02-24 |
| 1255570909 | Brett Alan Stuber | Physical Therapist | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2009-02-19 |
| 1689813230 | James Arthur Smith | Physical Therapy Assistant | 1 Cumberland Pl, Bangor, ME 04401-5083 | 2009-02-05 |
| 1235317959 | Melanie A Glidden | Registered Nurse | 1 Cumberland Pl, Bangor, ME 04401-5083 | 2008-02-05 |
| 1710193040 | Tammy Anne Pellegrino | Occupational Therapist | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174763395 | Nancy Grant Aylward | Registered Nurse | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2009-02-27 |
| 1801036355 | Laura Lee Guzman | Registered Nurse | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2009-02-24 |
| 1235317959 | Melanie A Glidden | Registered Nurse | 1 Cumberland Pl, Bangor, ME 04401-5083 | 2008-02-05 |
| 1326241902 | Cynthia Lucille Karris | Registered Nurse | 1 Cumberland Pl Ste 108, Bangor, ME 04401-5087 | 2007-06-08 |
| 1891909644 | Amanda Lynn Landry | Registered Nurse | 1 Cumberland Pl Ste 108, Bangor, ME 04401-5087 | 2007-05-10 |
| 1477766822 | Lori Ann Deshane | Registered Nurse | 1 Cumberland Pl, Suite 108, Bangor, ME 04401-5083 | 2007-05-08 |
| 1013129246 | Lisa B Foss | Registered Nurse | 1 Cumberland Pl Ste 108, Bangor, ME 04401-5087 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659560 | Lori Jean Fish | Registered Nurse | 24 Mill Hill Rd, Turner, ME 04282-3435 | 2020-02-03 |
| 1831736354 | Lisa Gashlin | Registered Nurse | 46 Blue Hill Rd, Surry, ME 04684-0468 | 2019-12-03 |
| 1689137267 | John Henkel | Registered Nurse | 13 Fuller St, Wilton, ME 04294-4424 | 2019-04-10 |
| 1861988545 | Pamela Jean Tower | Registered Nurse | 208 Chadbourne Rd., Harmony, ME 04942 | 2018-07-06 |
| 1114421096 | Carol J Nappi | Registered Nurse | 51 Legacy Road, Raymond, ME 04071 | 2018-03-23 |
| 1275033144 | Sarah Ann Mcdermott | Registered Nurse | 11 Mcdermott Way, Falmouth, ME 04105-2586 | 2018-02-17 |
| 1942700257 | Ryan A Mccafferty | Registered Nurse | 22 Vfw Dr, Lincoln, ME 04457-4761 | 2018-02-14 |
| 1063926111 | Elizabeth A Grant | Registered Nurse | 31 Knights Rd, Albion, ME 04910-6306 | 2017-11-28 |
| 1366951790 | Carly Olivia Wight | Registered Nurse | 112 Woods Rd, Belfast, ME 04915-7428 | 2017-09-28 |
| 1720515539 | Nancy Bachelder | Registered Nurse | 550 Lebanon Rd, Winterport, ME 04496-4025 | 2017-05-11 |
| 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.