AMY SUE WILSON (NPI# 1902372691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902372691 |
| Entity Type | Individual |
| Full Name | AMY SUE WILSON |
| Practice Address |
375 Sequoyah Trl # 268 Cherokee NC 28719 |
| Practice Telephone | 8284979163 |
| Mailing Telephone | 8284979163 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 2017-4322-01 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA PEER SUPPORT SPECIALIST | 2017-4322-01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127852 | Amy L Wilson | Nurse Practitioner | 130 Musquash Rd, Hudson, NH 03051-5418 | 2020-02-27 |
| 1174162614 | Amy Wilson | Speech-Language Pathologist | 390 Perrine Blvd, Manasquan, NJ 08736-3834 | 2020-01-01 |
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1346739711 | Amy Beth Wilson | Nurse Practitioner | 3101 Nasa Pkwy Ste B, Seabrook, TX 77586-6475 | 2018-05-01 |
| 1841664042 | Amy Wilson | Licensed Practical Nurse | 2906 W Murphysboro Rd, Carbondale, IL 62901-1060 | 2015-11-25 |
| 1316318546 | Amy Wilson | Social Worker | 2052 Dripping Springs Dr, Forney, TX 75126-5138 | 2015-10-14 |
| 1235531609 | Amy Marie Wilson | Nurse Practitioner | 1403 Windwood Ln, Flint, MI 48507-0524 | 2014-09-17 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1043561483 | Amy L Wilson | Licensed Practical Nurse | 3110 Healthplex Parkway, Norman, OK 73072 | 2012-09-25 |
| 1326324484 | Amy Lynn Wilson | Registered Nurse | 958 Devon Drive, Devon Binns, Newark, DE 19711 | 2011-11-02 |
| Street Address |
375 SEQUOYAH TRL # 268 |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| 1396021200 | Cherokee Indian Hospital Authority | Clinic/Center | 75 Paint Town Road, Cherokee, NC 28719 | 2011-10-25 |
| Find all providers in zip 28719 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980847 | Luvenia Thompson | Peer Specialist | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2020-04-16 |
| 1285253575 | Amanda Macmullen | Peer Specialist | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2020-04-16 |
| 1801424460 | Penelope Rollins | Peer Specialist | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2020-03-30 |
| 1174159289 | Nakeisha Fish | Peer Specialist | 1 Hospital Rd, Cherokee, NC 28719 | 2020-03-20 |
| 1669008322 | Bianca Dardeen | Peer Specialist | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2020-03-13 |
| 1114585007 | Sheronda Maney Watty | Peer Specialist | 1 Hospital Rd, Cherokee, NC 28719-2871 | 2019-06-05 |
| 1164080941 | Maggie Juanita Welch | Peer Specialist | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2019-06-05 |
| 1003474883 | Ashley Keel | Peer Specialist | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2019-06-05 |
| 1578039343 | Jill Marie Wright-smith | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-19 |
| 1922574615 | Billie Jo Rich | Peer Specialist | 375 Sequoyah Trl, Cherokee, NC 28719 | 2018-10-19 |
| Find all providers in CHEROKEE | ||||
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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.