Active NPI
Karen Marie Wilcox, P.A.-C
- Physician Assistant
- Lutz, FL
National Provider Identifier
1124359609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9103500
- Practice address
- 19105 US Highway 41N
Suite 100
Lutz, FL 33549-5006 - Phone
- (813) 269-2700
- NPI assigned
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9103500 | FL | Primary |
Addresses
Primary practice location
19105 US Highway 41N
Suite 100
Lutz, FL 33549-5006
Mailing address
19105 US Highway 41N
Suite 100
Lutz, FL 33549-5006
Phone (813) 269-2700
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9103500 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1124359609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19105 US HIGHWAY 41N",
"address_2": "SUITE 100",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495006",
"telephone_number": "813-269-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19105 US HIGHWAY 41N",
"address_2": "SUITE 100",
"city": "LUTZ",
"state": "FL",
"postal_code": "335495006",
"telephone_number": "813-269-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9103500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.