WILLIM WILSON (NPI# 1922467547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922467547 |
| Entity Type | Individual |
| Full Name | WILLIM WILSON |
| Practice Address |
2415 Mccallie Ave Chattanooga TN 37404-3322 |
| Practice Telephone | 4236242696 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1477 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2415 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367045 | Kurt Harold Pulver | Physician Assistant | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2005-06-21 |
| 1366078685 | Pace Rothery | Physician Assistant | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2020-03-18 |
| 1336784370 | Lacie Black | Nurse Practitioner | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2019-11-13 |
| 1487212270 | Kelsey Foster | Physical Therapist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2019-06-05 |
| 1003474610 | Anna Hurdle | Physical Therapist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2019-05-30 |
| 1417448598 | Megan Marshall Henry | Physician Assistant | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2018-05-23 |
| 1336652643 | Mary Hubbard | Nurse Practitioner | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2017-11-08 |
| 1619428406 | Jennifer Ehlers | Occupational Therapist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2016-10-17 |
| 1134538507 | Elizabeth Rushworth Bradford | Physical Therapist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2014-08-10 |
| 1205247293 | Mary Elizabeth English | Physical Medicine & Rehabilitation | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776143 | Kayla Hayes | Specialist/Technologist | 305 W Bell Ave, Chattanooga, TN 37405-3401 | 2020-06-29 |
| 1659998367 | Kristopher Ace Ippolito | Specialist/Technologist | 212 Walnut St Apt 254, Chattanooga, TN 37403-4400 | 2020-06-29 |
| 1710504469 | Shelby Marie Gonser | Specialist/Technologist | 210 Citygreen Way Apt 102, Chattanooga, TN 37405-1477 | 2020-06-29 |
| 1265059851 | Destiny Wihite | Specialist/Technologist | 6574 E Brainerd Rd Apt 920, Chattanooga, TN 37421-3710 | 2020-06-29 |
| 1902423593 | Trevor Andrew Shim | Specialist/Technologist | 1185 Mountain Creek Rd Apt 209, Chattanooga, TN 37405-1650 | 2020-06-29 |
| 1821618869 | Luis Dariel Rodas | Specialist/Technologist | 4650 Buccaneer Trl, Chattanooga, TN 37411-1247 | 2020-04-20 |
| 1639714371 | Matthew Garrett Myers | Specialist/Technologist | 210 Citygreen Way Apt 304, Chattanooga, TN 37405-1475 | 2019-11-15 |
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1952963514 | Bonnie Joanne Blevins | Specialist/Technologist | 615 Mccallie Ave Bldg Dept6606, Chattanooga, TN 37403-2504 | 2019-07-03 |
| 1356903025 | Joseph Francisco Martell | Specialist/Technologist | 651 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.