Individual provider Active NPI

Wilhelmina C. Somera, RN-BC,CCRN,MSN FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1013452309
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9658 Issued in AZ
Practice address
6617 S Quail Vista Dr
Tucson, AZ 85756-8681
Phone
(520) 731-1047
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9658 AZ Primary
Primary Care Nurse Practitioner 363LP2300X AP9658 AZ

Addresses

Primary practice location

6617 S Quail Vista Dr
Tucson, AZ 85756-8681

Mailing address

6617 S Quail Vista Dr
Tucson, AZ 85756-8681
Phone (520) 731-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1013452309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 S QUAIL VISTA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568681",
            "telephone_number": "520-731-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 S QUAIL VISTA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568681",
            "telephone_number": "520-731-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERA",
        "first_name": "WILHELMINA",
        "middle_name": "C.",
        "name_prefix": "Miss",
        "credential": "RN-BC,CCRN,MSN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9658",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP9658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.