Shirley Crawford Wilson

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

238327 Issued in FL

Practice address

5105 Benning Rd
Jacksonville, FL 32254-3610

Phone

(904) 487-3949

Fax

(904) 580-5805

NPI assigned

Jun 29, 2007

Last updated

Apr 19, 2022By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Shirley Wilson Heavenly Healthcare

  • Home Health Aide
  • Jacksonville, FL
  • NPI 1548904063
  NPD Authorized official
• Golden Days Assisted Living

  • Assisted Living Facility
  • Jacksonville, FL
  • NPI 1548467947
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1093912404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 BENNING RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543610",
            "telephone_number": "904-487-3949",
            "fax_number": "904-580-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 BENNING RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543610",
            "telephone_number": "904-487-3949",
            "fax_number": "904-580-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHIRLEY",
        "middle_name": "CRAWFORD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "238327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024749500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanya Lucille Wilson
• Sharlana Wilson
• Shauney R Wilson
• Shayna Wilson
• Sherene Wilson, PA
• Susan Thompson Wilson, PA-C
• Tammy E Wilson, LCSW
• Taneisha Evette Wilson
• Teri Wilson
• Richard Jacob Wiltse, M.D.

• Home Health Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.