Julie Marie Wilson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

18246 Issued in NE

Practice address

420 Victory Park Dr
Lincoln, NE 68510-2484

Phone

(402) 489-3802

Fax

(402) 486-7896

NPI assigned

Jul 12, 2024

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.

• Omaha Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Lincoln, NE
  • NPI 1356399372
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1114764412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VICTORY PARK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102484",
            "telephone_number": "402-489-3802",
            "fax_number": "402-486-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VICTORY PARK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102484",
            "telephone_number": "402-489-3802",
            "fax_number": "402-486-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "18246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayden Wilson
• Jennifer Wilson
• Jennifer Wilson
• Jessica Marie Wilson
• Julie Diane Wilson, APRN
• Kain Wilson
• Kaitlyn Renee Wilson
• Kathryn Anne Cook Wilson
• Kayla Wilson, PLMHP, PLADC, PCDGC
• Keshawn Marquez Wilson

• Licensed Practical Nurse in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.