Talisha T Wilson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

9165 Otis Ave Ste 110
Indianapolis, IN 46216-2307

Phone

(317) 657-9116

NPI assigned

Apr 16, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mama Annie'S Homecare LLC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mama Annie'S Home Care LLC

  • Personal Care Attendant
  • Indianapolis, IN
  • NPI 1922717396
  NPD Authorized official
• Mama Annie'S Home Health Care LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1215881479
  NPD Authorized official
• Transportation Care LLC

  • Driver
  • Indianapolis, IN
  • NPI 1083323240
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1003435322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162307",
            "telephone_number": "317-657-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162307",
            "telephone_number": "317-657-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TALISHA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IN",
            "license": "1550684500",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAMA",
            "last_name": "HOMECARE LLC",
            "middle_name": "ANNIE'S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Spencer Allison Wilson, M.D.
• Stacey Wilson
• Susan W Wilson, MD
• Susana Wilson, LCSW
• Sydney A Wilson, M.D.
• Taniqua Wilson
• Tanya Kezia Danielle Wilson, M.D.
• Taylor Linn Wilson, PMHNP-BC
• Twila Elaine Wilson, PSYD
• Vagie L Wilson

• Personal Care Attendant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.