Active NPI
Vernette Wilson
- Licensed Practical Nurse
- Cheshire, CT
National Provider Identifier
1083972079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 035902
- Practice address
- 125 Commerce CT
Cheshire, CT 06410-1243 - Phone
- (203) 250-2361
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 035902 | CT | Primary |
Addresses
Primary practice location
125 Commerce CT
Cheshire, CT 06410-1243
Mailing address
PO Box 3072
Westport, CT 06880
Phone (203) 615-4164
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035902 | CT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1083972079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3072",
"city": "WESTPORT",
"state": "CT",
"postal_code": "06880",
"telephone_number": "203-615-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COMMERCE CT",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101243",
"telephone_number": "203-250-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VERNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-26",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CT",
"license": "035902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.