Dewaynia Wilson, DAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02387 Issued in MD

Practice address

1730 West St Unit 205
Annapolis, MD 21401-3764

Phone

(410) 268-3333

NPI assigned

Oct 5, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Elevate Life Women's, LLC

  • Chiropractor
  • Annapolis, MD
  • NPI 1174132732
  NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1083386254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WEST ST UNIT 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WEST ST UNIT 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013764",
            "telephone_number": "410-268-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEWAYNIA",
        "name_prefix": "Dr.",
        "credential": "DAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean P Williamson, R.N., B.S.
• Monique Raquel Willingham, CRNP
• Latoya Willis-Sparrow
• Treva Willis
• Abigail R Wilson
• Eleanor Wilson
• Jennifer Jane Wilson, LCPC
• Jonathan K Wilson, PA-C
• Margaret Banks Wilson, FNP-C
• Michelle J Wilson, RPT

• Acupuncturist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.