SHELBY LYNNE WILSON (NPI# 1982258091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982258091 |
| Entity Type | Individual |
| Full Name | SHELBY LYNNE WILSON |
| Credential | NP-C |
| Practice Address |
14601 Detroit Ave Lakewood OH 44107-4205 |
| Practice Telephone | 2162375500 |
| Mailing Telephone | 2162375500 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.024992 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726455 | Shelby I Wilson | Specialist | 110 W 38th Ave Ste 4a, Anchorage, AK 99503-5677 | 2012-03-08 |
| 1508408626 | Shelby Wilson | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1134776156 | Shelby Wilson | Physical Therapist | 3446 Mckelvey Rd, Bridgeton, MO 63044-2525 | 2019-08-23 |
| 1649827213 | Shelby Wilson | Behavior Technician | 913 N Carolina Ave, Statesville, NC 28677-3414 | 2019-08-19 |
| 1780152835 | Shelby Dawn Wilson | Behavior Technician | 6197 Lehman Dr Ste 102, Colorado Springs, CO 80918-3446 | 2018-11-07 |
| 1003392341 | Shelby Wilson | Counselor | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-07-18 |
| 1841720752 | Shelby Wilson | Counselor | 414 N Meridian St, Newberg, OR 97132-2697 | 2017-06-13 |
| 1548637564 | Shelby Wilson | Social Worker | 4615 Government St, Building 1, Baton Rouge, LA 70806-5922 | 2015-08-25 |
| 1114336120 | Shelby Wilson | Physician Assistant | 18205 N 51st Ave, Suite 129, Glendale, AZ 85308-1490 | 2014-08-05 |
| 1568749497 | Shelby Wilson | Pharmacist | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2011-11-06 |
| Street Address |
14601 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557197 | Marie Antonette Albano | Dentist | 14601 Detroit Ave, Ste 680, Lakewood, OH 44107-4251 | 2005-06-09 |
| 1659900413 | Alexander Ford | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-03 |
| 1992334783 | Kyle O'brien | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-03 |
| 1497384200 | Emery Llewellyn Young Jr. | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-03 |
| 1952930950 | Ryan Joseph Tran | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-02 |
| 1831728765 | Lauren Wichman | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-04-02 |
| 1881220960 | Megan Theresa Wolf | Dietitian, Registered | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2020-03-20 |
| 1205397494 | Brian Halim Youseff | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-03-29 |
| 1992266183 | Molly Mcdermott | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-03-29 |
| 1952862260 | Katherine Li Liang | Student in an Organized Health Care Education/Training Program | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218574 | Primary Health Services LLC | Nurse Practitioner | 500 River Ave Ste 200, Lakewood, NJ 08701-4719 | 2020-09-01 |
| 1235748237 | Esther Steinhaus | Nurse Practitioner | 409 Ashley Ave, Lakewood, NJ 08701-4866 | 2020-07-26 |
| 1609402817 | Bridgit V Wedgle | Nurse Practitioner | 2556 S Jellison Ct, Lakewood, CO 80227-2872 | 2020-03-19 |
| 1255963187 | Tresa Marie Glaser | Nurse Practitioner | 8807 25th Ave S, Lakewood, WA 98499-8301 | 2020-02-08 |
| 1972149490 | Richard Allan Coronel Sy | Nurse Practitioner | 11645 Walcroft St, Lakewood, CA 90715-1356 | 2019-11-19 |
| 1609411867 | Jennifer Lynn Wondel | Nurse Practitioner | 10424 W Arkansas Dr, Lakewood, CO 80232-5014 | 2019-11-12 |
| 1457901555 | Nancy Wairimu Minjire | Nurse Practitioner | 9537 Gravelly Lake Dr Sw # E10, Lakewood, WA 98499-1513 | 2019-09-19 |
| 1619432325 | Soroh Neuberger | Nurse Practitioner | 232 Jamescrest Ct, Lakewood, NJ 08701-4708 | 2019-02-06 |
| 1487118782 | Krista Leigh Petry | Nurse Practitioner | 4720 Baker St, Lakewood, NY 14750-9772 | 2019-01-31 |
| 1649740093 | Svetlana Polyakova | Nurse Practitioner | 8316 W Eastman Pl, Lakewood, CO 80227-6240 | 2018-11-28 |
| Find all providers in LAKEWOOD | ||||
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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.