MR. JOHN WILSON III (NPI# 1982765772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982765772 |
| Entity Type | Individual |
| Full Name | MR. JOHN WILSON III |
| Credential | CPRS |
| Practice Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 8656379711 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MA47923 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 175T00000X | Peer Specialist | 000-1216 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS PROVIDER | C4119 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
201 W SPRINGDALE AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865197 | Patricia Lynn Poteet | Nurse Practitioner | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2005-07-18 |
| 1225638539 | Lora Michael Hall | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-27 |
| 1417556457 | Cassie Lynn Wilmouth | Specialist/Technologist, Other | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-21 |
| 1598362790 | Cheryl G Beams | Specialist/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-10-01 |
| 1982218632 | Jessica Nicole Isham | Technician/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-01 |
| 1285248930 | Brandon Michael Ward | Technician/Technologist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-01 |
| 1558974147 | Joseph Robert Boughter | Student in an Organized Health Care Education/Training Program | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-08-25 |
| 1396363271 | Marquita Yvett Dortch | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-07-08 |
| 1942827670 | Dena Hassan | Behavior Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-06-29 |
| 1639795974 | Amber Nolan | Behavior Technician | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| 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 |
|---|---|---|---|---|
| 1386251684 | Terri L Robinson | Peer Specialist | 205 W Springdale Ave, Knoxville, TN 37917-5158 | 2020-09-30 |
| 1629686068 | Mary Franfces Miller | Peer Specialist | 5310 Ball Camp Pike, Knoxville, TN 37921-3234 | 2020-07-22 |
| 1558989434 | Chasity Hope Galyon | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2020-07-08 |
| 1437781903 | Megan Brumlow | Peer Specialist | 600 Arthur St, Knoxville, TN 37921-6405 | 2020-02-12 |
| 1518515584 | Patrick Dickens | Peer Specialist | 528 Lamar St, Knoxville, TN 37917-7343 | 2019-09-03 |
| 1407329204 | Heather Ann Wallace | Peer Specialist | 2455 Sutherland Ave, Knoxville, TN 37919-2355 | 2019-01-04 |
| 1245784115 | Kellie Jo Grover | Peer Specialist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-08-09 |
| 1841675782 | Sharon Mcclain | Peer Specialist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2015-07-21 |
| 1922402809 | Stacye Jowers | Peer Specialist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1891264453 | George Allen Clay | Peer Specialist | 509 S Highland Park Ave, Chattanooga, TN 37404-2932 | 2018-11-13 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1336748375 | Lydia Stoutt | Peer Specialist | 320 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-21 |
| 1730787706 | Trey Lovelace | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-10-13 |
| 1053939256 | Meredith Roxanne Cross | Peer Specialist | 17 Ridgeway Rd, Norris, TN 37828-3071 | 2020-07-14 |
| 1184242638 | Misty Lee Matheney | Peer Specialist | 839 Wren Rd, Goodlettsville, TN 37072-2316 | 2020-07-10 |
| 1437773801 | Brandi Nicole Greene | Peer Specialist | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-06-02 |
| 1720609209 | Angel Kilgore | Peer Specialist | 2408 Susannah St, Johnson City, TN 37601-1732 | 2020-05-06 |
| 1174142129 | Alisa Diane Grant I | Peer Specialist | 230 Venture Cir, Nashville, TN 37228-1604 | 2020-04-10 |
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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.