Active NPI
Tonya Gayle Wilson, LPN
- Licensed Practical Nurse
- Norman, OK
National Provider Identifier
1104115625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 59422
- Practice address
- 3831 Cedar Ridge Dr
Norman, OK 73072-4623 - Phone
- (405) 912-4585
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 59422 | OK | Primary |
Addresses
Primary practice location
3831 Cedar Ridge Dr
Norman, OK 73072-4623
Mailing address
3801 Belhaven Circle
Norman, OK 73072
Other names 1
- Tonya Gayle Wilson
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 |
|---|---|---|---|
| 59422 | OK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1104115625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 BELHAVEN CIRCLE",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 CEDAR RIDGE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724623",
"telephone_number": "405-912-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TONYA",
"middle_name": "GAYLE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "59422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "WILSON",
"middle_name": "GAYLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.