TAMARA WILSON (NPI# 1902228091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902228091 |
| Entity Type | Individual |
| Full Name | TAMARA WILSON |
| Practice Address |
1813 Dolphin Dr Portland TX 78374-2721 |
| Mailing Address |
Po Box 220 Portland TX 78374-0220 |
| Practice Telephone | 3612323770 |
| Mailing Telephone | 3614454643 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873440 | Tamara Wilson | Specialist/Technologist, Other | 2310 Peger Rd Ste 106, Fairbanks, AK 99709-5305 | 2017-07-11 |
| 1831420017 | Tamara Jean Wilson | Nurse Practitioner | 890 Oak St Se Ste 5050, Salem, OR 97301-3905 | 2010-01-27 |
| 1841325503 | Tamara Sue Wilson | Family Medicine | 9895 W. Remington Place, Littleton, CO 80128-6734 | 2007-02-22 |
| 1932685021 | Tamara R Wilson | Case Manager/Care Coordinator | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2018-07-12 |
| 1699142901 | Tamara Wertz Wilson | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2015-08-24 |
| 1629473038 | Tamara Michelle Wilson | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2014-10-28 |
| 1396805065 | Tamara Dawn Wilson | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2006-12-11 |
| Street Address |
1813 DOLPHIN DR |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| Find all providers in zip 78374 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
| 1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1366898421 | Nadia Greene | Contractor | 3836 Se Yamhill St, Portland, OR 97214-4355 | 2016-05-09 |
| 1528438132 | Kristine Okamoto | Contractor | 3940 Se Brooklyn St, Portland, OR 97202-1627 | 2015-09-25 |
| 1427465079 | Jennifer Marie Hessick | Contractor | 7942 Se 141st Ave, Portland, OR 97236-5450 | 2014-07-15 |
| 1760810030 | Amy Rose Boren | Contractor | 8385 Sw Carmel Ct, Portland, OR 97223-6951 | 2013-10-24 |
| 1811243884 | Sharon L. Morrison-wolley | Contractor | 2714 Ne 38th Ave, Portland, OR 97212-2850 | 2012-07-27 |
| 1629337555 | Jesse Luckett | Contractor | 52 Ne Fremont St, Portland, OR 97212-2027 | 2012-05-12 |
| 1164794202 | Frederick Farman Johnson IIi | Contractor | 334 Ne Irving Avenue, Portland, OR 97702 | 2012-02-06 |
| Find all providers in PORTLAND | ||||
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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.