Wilda D Roy

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5044 Lake Vista Dr
The Colony, TX 75056-4015

Phone

(469) 556-9933

Fax

(972) 625-6881

NPI assigned

Apr 14, 2010

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

Other names 1

• Wilda D Roy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1053637165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 LAKE VISTA DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564015",
            "telephone_number": "469-556-9933",
            "fax_number": "972-625-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 LAKE VISTA DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564015",
            "telephone_number": "469-556-9933",
            "fax_number": "972-625-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "WILDA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILDA",
            "last_name": "ROY",
            "middle_name": "D",
            "credential": "HCS, TXHML",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Manager/Care Coordinator in The Colony, TX
• Providers in The Colony, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.