Herbert Wilson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9436544 Issued in FL

Practice address

1307 Providence Rd
Brandon, FL 33511-4885

Phone

(813) 655-4646

Fax

(813) 655-4113

NPI assigned

Nov 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7923/brand/1/csg/1/fhir/r4
• Direct secure messaging: justin.wilson.1@7923.direct.athenahealth.com

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.

• Biggers Family Medicine, P.a.

  • Family Medicine Physician
  • Brandon, FL
  • NPI 1639453582
  Medicare reassignment NPD
• Covenant Home Health Care 6, LLC

  • Home Health Agency
  • Brandon, FL
  • NPI 1750933578
  NPD (past)
• Aylo Health, LLC

  • Family Medicine Physician
  • Ellenwood, GA
  • NPI 1447290218
  NPD (past)
• Aylo Health, LLC

  • Family Medicine Physician
  • Locust Grove, GA
  • NPI 1710929914
  NPD (past)
• Aylo Health, LLC

  • Sleep Medicine (Family Medicine) Physician
  • Stockbridge, GA
  • NPI 1922831445
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1023481199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-655-4646",
            "fax_number": "813-655-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-655-4646",
            "fax_number": "813-655-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HERBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9436544",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN000000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylie Wilson, PT, DPT
• Brittania Thalia Wilson
• Brittany Wilson, MSW
• Carrie L Wilson, MA, LMHC
• Emily Sara Wilson, SLP
• Linda M. Wilson, M.D.
• Mark Joseph Wilson, O.D.
• Matthew Ben Wilson, D.C.
• Nolan Lee Wilson, OD
• Steven A. Wilson, D.C.

• Family Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.