MR. CRAIG ROBERT WILSON (NPI# 1972686640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972686640 |
| Entity Type | Individual |
| Full Name | MR. CRAIG ROBERT WILSON |
| Credential | BS |
| Practice Address |
1003 N Boradway Johnson City TN 37601 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4232324326 |
| Practice Fax Number | 4232324255 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034625 | Craig Wilson | Behavior Technician | 25180 5th St Apt 209, San Bernardino, CA 92410-5164 | 2019-06-30 |
| 1174047476 | Craig Wilson | Counselor | 3100 Ridgelake Dr Ste 309, Metairie, LA 70002-4938 | 2017-07-28 |
| 1639494354 | Craig Kyle Wilson | Counselor | 3340 Kemper St., Ste.105, San Diego, CA 92110-3107 | 2010-04-06 |
| 1609922574 | Craig Michael Wilson | Counselor | 3740 Orcutt Rd, San Luis Obispo, CA 93401-8365 | 2007-01-25 |
| 1902967938 | Craig Richard Wilson | Nurse Anesthetist, Certified Registered | 4150 V St. Pssb Suite 1200, Ucd Health System Med/anesthesiology & Pain, Sacramento, CA 95817-1460 | 2006-12-13 |
| 1588748313 | Craig Louis Wilson | Chiropractor | 26 S Main, Box 279, Cedar Springs, MI 49319 | 2006-10-25 |
| 1942218987 | Craig M Wilson | Chiropractor | 624 N Ninth Street, Family Care Chiropractic, Lebanon, PA 17046 | 2006-08-04 |
| 1134143399 | Craig Harold Wilson | Dentist | 964 Sanford Ave, Irvington, NJ 07111-1474 | 2006-07-27 |
| 1457733438 | Craig Wilson | Orthopaedic Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2015-06-25 |
| 1972930261 | Craig Michael Wilson II | Nurse Anesthetist, Certified Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2013-10-01 |
| Street Address |
1003 N BORADWAY |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123941 | Jessica Farmer | Case Manager/Care Coordinator | 2700 S Roan St Ste 425, Johnson City, TN 37601-7587 | 2015-01-05 |
| 1730432592 | Samantha N Blevins | Case Manager/Care Coordinator | 802 Buffalo St, Suite 8, Johnson City, TN 37604-6900 | 2012-10-18 |
| 1518110733 | Darrell Craig Bush | Case Manager/Care Coordinator | 24 Cherry St # Po, Johnson City, NY 13790-2615 | 2008-10-31 |
| 1689743957 | Judy Anne Miles | Case Manager/Care Coordinator | 109 W Watauga Avenue, Johnson City, TN 37604 | 2006-11-08 |
| 1598835738 | Jennifer Lee Puett | Case Manager/Care Coordinator | 109 West Watauga Ave, Johnson City, TN 37605 | 2006-11-08 |
| 1285717504 | Misty Dawn Adams | Case Manager/Care Coordinator | 109 W Watauga, Johnson City, TN 37605 | 2006-10-23 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| 1538665328 | Ashlie Katelyn Depew | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-02 |
| 1649706490 | Alexamdra D'shay Myers | Case Manager/Care Coordinator | 2700 S Roan St, Suite 425, Johnson City, TN 37601-7556 | 2017-05-11 |
| 1578008942 | Aaliyah Russell | Case Manager/Care Coordinator | 2700 S Roan St, Johnson City, TN 37601-7556 | 2016-12-21 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.