KIYEESHA WILDER (NPI# 1962943829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962943829 |
| Entity Type | Individual |
| Full Name | KIYEESHA WILDER |
| Practice Address |
17295 Palmer St 2 Melvindale MI 48122-1247 |
| Practice Telephone | 2484693898 |
| Mailing Telephone | 2484693898 |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2017-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
17295 PALMER ST 2 |
| City | MELVINDALE |
| State | MI |
| Zip Code | 48122-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942840731 | Dimensions of Wellness, Inc., A Nonprofit Corporation | Counselor | 17461 Allen Rd, Melvindale, MI 48122-1026 | 2020-01-09 |
| 1801411590 | Tina M Gomez | Marriage & Family Therapist | 17461 Allen Rd, Melvindale, MI 48122-1026 | 2020-06-09 |
| 1447406319 | Marcella Marie Lane | Private Vehicle | 17625 Reed St, Melvindale, MI 48122-1142 | 2008-08-12 |
| 1467729046 | Rite Way Pharmacy | Pharmacist | 3600 Oakwood Blvd, Melvindale, MI 48122-1150 | 2011-11-25 |
| 1457776056 | Nwammiri Okorafor | Pharmacist | 3600 Oakwood Blvd, Melvindale, MI 48122-1150 | 2014-02-19 |
| 1154681054 | Gog Pharmacy Pllc | Pharmacy | 3600 Oakwood Blvd, Melvindale, MI 48122-1150 | 2012-05-24 |
| 1053684506 | Melvindale Family Dentistry | Dentist | 3113 Oakwood Blvd, Melvindale, MI 48122-1211 | 2012-02-14 |
| 1992881635 | I Dennis Potocsky Dds PC | Dentist | 3113 Oakwood, Melvindale, MI 48122-1211 | 2006-10-27 |
| 1144401811 | Ivan Dennis Potocsky | Dentist | 3113 Oakwood, Melvindale, MI 48122-1211 | 2007-11-21 |
| 1174567820 | City of Melvindale | Ambulance | 3160 Oakwood Blvd, Melvindale, MI 48122-1220 | 2006-06-15 |
| Find all providers in zip 48122 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881432 | Sheila Japoniceker Womack | Home Health Aide | 23328 Beechwood Ave, Eastpointe, MI 48021-3549 | 2020-11-08 |
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1902407596 | Mishari Denise Ryan | Home Health Aide | 1190 River Valley Dr Apt 4, Flint, MI 48532-2960 | 2020-11-02 |
| 1386244242 | Athens Home Care Solutions LLC | Home Health Aide | 215 W Burr Oak, Athens, MI 49011-9731 | 2020-10-29 |
| 1700484037 | Kaelah Alexander | Home Health Aide | 17800 Northland Park Ct Ste 103b, Southfield, MI 48075-4304 | 2020-10-09 |
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1548875578 | Shenise Renee Jones | Home Health Aide | 15433 Auburn St, Detroit, MI 48223-1764 | 2020-09-15 |
| 1396350336 | Molly D Schichtel | Home Health Aide | 4234 Cascade Rd Se Ste 3, Grand Rapids, MI 49546-8384 | 2020-09-15 |
| 1073128815 | Charmaine Tate | Home Health Aide | 32144 Woody, Fraser, MI 48026-2126 | 2020-09-09 |
| 1487268280 | Shaquisha N Allen | Home Health Aide | 9072 Stahelin Ave, Detroit, MI 48228-1715 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | MELVINDALE |
| Zip Code | 48122 |
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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.