Individual provider Active NPI

Sharia L Wilson, EMT-B

  • Basic Emergency Medical Technician
  • Columbus, OH
National Provider Identifier
1053036483
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
0179802 Issued in OH
Practice address
502 Catherine St
Columbus, OH 43223-1968
Phone
(614) 348-6518
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Basic Emergency Medical Technician 146N00000X 0179802 OH Primary

Addresses

Primary practice location

502 Catherine St
Columbus, OH 43223-1968

Mailing address

502 Catherine St
Columbus, OH 43223-1968
Phone (614) 348-6518

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Shariawilson101@gmail.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0179802OHMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1053036483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CATHERINE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231968",
            "telephone_number": "614-348-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CATHERINE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432231968",
            "telephone_number": "614-348-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHARIA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "EMT-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OH",
            "license": "0179802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shariawilson101@gmail.com",
            "affiliation": "N",
            "endpointDescription": "614-348-6518",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cell Number",
            "address_1": "502 Catherine St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432231968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.