Melissa Jean Wilm

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31000266A Issued in IN

Practice address

3408 Manhattan Blvd
Evansville, IN 47711-7909

Phone

(812) 453-8125

Fax

(812) 897-7361

NPI assigned

Apr 4, 2019

Last updated

Apr 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1043772494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 MANHATTAN BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477117909",
            "telephone_number": "812-453-8125",
            "fax_number": "812-897-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 MANHATTAN BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477117909",
            "telephone_number": "812-453-8125",
            "fax_number": "812-897-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILM",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000266A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melwilm@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3408 Manhattan Blvd",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477117909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katilyn Williamson, MSW
• Holly Willingham
• Chelsea Willis
• Stephanie Victoria Willis
• Alison Willman
• Mary Ann Wilsbacher, RN, FNP, WHNP
• Adria Marie Wilson, LCSW
• James M Wilson, R.PH.
• Jean Wilson, LCSW
• Olivia Kimberlin Wilson

• Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.