Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376279323 Individual Practitioner Female Practitioner

Chanida Putwanphen Wilson

Nurse Practitioner • Albany, OR

Professional Overview & Biography Verified Profile Summary

Chanida Wilson is a registered healthcare professional specializing in Nurse Practitioner in Albany, OR. Practice services are available at 1100 7TH AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 7th Ave Sw

Albany, OR 973211925

Telephone 5418125600
Associated Practice Facility / Clinic
🏢 Albany General Hospital Facility NPI 1205192465

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Albany, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.4 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Albany, OR (615 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 202215285NP-PP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License TX 1061486

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WA 61302785

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

2222 Maroneal St Unit 1333

Houston, TX 770303266

Phone: 2105012688

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Charles Pederson , MD, MPH

Preventive Medicine - Occupational Medicine

NPI 1093741803

Doctor of Medicine (M.D.), Master of Public Health

NPI 1376524694

PHYSICIANASSISTANT

Dr. Luci Kovacevic , MD, MPH

Preventive Medicine - Occupational Medicine

NPI 1417177304

Doctor of Medicine (M.D.), Master of Public Health

Angela Farrington , APRN

Nurse Practitioner - Family

NPI 1700449592

Advanced Practice Registered Nurse

Pamela Cotton , NP

Nurse Practitioner - Family

NPI 1720590987

Nurse Practitioner

Dr. Thomas Thrall , MD

Internal Medicine

NPI 1831127547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 20, 2023

Registered at 1100 7TH AVE SW, ALBANY, OR 973211925 (Tel: 5418125600)

📍
Updated Business Mailing Address June 20, 2023

Registered at PO BOX 1189, CORVALLIS, OR 973391189

NPI Profile Active July 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2022

Registered at 2222 MARONEAL ST UNIT 1333, HOUSTON, TX 770303266 (Tel: 2105012688)

📍
Updated Business Mailing Address July 30, 2022

Registered at 2222 MARONEAL ST UNIT 1333, HOUSTON, TX 770303266 (Tel: 2105012688)

👤
Provider Name / Credentials Updated July 30, 2022

Recorded as CHANIDA WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2022

Nurse Practitioner (License #1061486 in TX)

🟢
Initial NPI Registration & Enumeration July 30, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376279323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2022
Last Update: June 20, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1189

Corvallis, OR 973391189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.