Melissa Wilson, LPN, OTC, CPED, BOCO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

BOCO C50277

Practice address

611 N Lindsay St
Suite 200
High Point, NC 27262-4300

Phone

(336) 802-2250

Fax

(336) 802-2251

NPI assigned

Jan 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1073883468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DRIVE",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2536",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N LINDSAY ST",
            "address_2": "SUITE 200",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624300",
            "telephone_number": "336-802-2250",
            "fax_number": "336-802-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELISSA",
        "credential": "LPN, OTC, CPED, BOCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "034220",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "BOCO C50277",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": "ABC CPED 0855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannia Roxanne Theodosia Wilson, PMHNP
• Jennifer Marie Wilson, CRNA
• Kathryn Durham Wilson, MA, CCC-SLP
• Katurah Lashun Wilson, RN
• Lauren Allen Wilson
• Monica Brittain Wilson, PHARMD, BCACP, CPP
• Tierra Wilson
• Wilson'S Professional Care
• Wings of Angels Transportation
• Heather G Winslow, CRNA

• Orthotist in High Point, NC
• Providers in High Point, NC by specialty
• Orthotist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.