Vanessa Marie Wilson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN068626 Issued in LA

Practice address

1010 Common St Ste 600
New Orleans, LA 70112-2489

Phone

(504) 568-3130

Fax

(504) 568-6647

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Marie Tillman Former name

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1073961132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST STE 600",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122489",
            "telephone_number": "504-568-3130",
            "fax_number": "504-568-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COMMON ST STE 600",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122489",
            "telephone_number": "504-568-3130",
            "fax_number": "504-568-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN068626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "TILLMAN",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Wilson
• Terrahney Wilson, DDS
• Torron Wilson
• Tracey Kersten Wilson, DNP, CRNA
• Vanessa Wilson, DPT
• Kathryn Wiltrout
• Heather Patterson Wiltshire, LPC-S, NBCC
• Lucretia Marie Wiltz-James, NP
• Katy Wiltz, MD
• Kylar Keith Wiltz, MD

• Registered Nurse in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.