Tricia Wilson Lee, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-087502 Issued in AL

Practice address

8095 Stratford Dr
Irvington, AL 36544-4121

Phone

(251) 610-1995

NPI assigned

Oct 24, 2021

Last updated

Oct 24, 2021By the provider in NPPES

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 identifiers 3

Other names 1

• Tricia Rena Wilson 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": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1083378376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8095 STRATFORD DR",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444121",
            "telephone_number": "251-610-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8095 STRATFORD DR",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444121",
            "telephone_number": "251-610-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TRICIA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-087502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "1-087502",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED REGISTERED NURSE PRACTITIONER",
            "identifier": "1-087502",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT GERONTOLOGY ACUTE CARE NURSE PRACTITIONER",
            "identifier": "2021028810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "WILSON",
            "middle_name": "RENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendra Marie Jones, LCSW/PIP
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• Kayleigh Jade Ladnier
• Traci Leavines, RN
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• Viengxay Thomas Malavong, D.O.
• Mary-Claire Marshall, BA, MA
• Ashley McBride, CRNP
• Sherry Morgan Meadows, MD

• Nurse Practitioner in Irvington, AL
• Providers in Irvington, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; 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.