Individual provider Active NPI

Erma Jean Wilson, GNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aransas Pass, TX
National Provider Identifier
1073674347
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
223581 Issued in TX
Practice address
1711 W Wheeler Ave Ste 2
Aransas Pass, TX 78336-4536
Phone
(361) 887-9600
Fax
(361) 883-1661
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0105241-23 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 223581 TX Primary

Addresses

Primary practice location

1711 W Wheeler Ave Ste 2
Aransas Pass, TX 78336-4536

Mailing address

1711 W Wheeler Ave Ste 2
Aransas Pass, TX 78336-4536
Phone (361) 887-9600

Other identifiers 1

IdentifierTypeStateIssuer
171346301MedicaidTX

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0105241-23TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Psychiatry Services PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1073674347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W WHEELER AVE STE 2",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364536",
            "telephone_number": "361-887-9600",
            "fax_number": "361-883-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W WHEELER AVE STE 2",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783364536",
            "telephone_number": "361-887-9600",
            "fax_number": "361-883-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERMA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "0105241-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "223581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171346301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aransas Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.