Christina Wilder, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1012943 Issued in TX

Practice address

821 Allen Street Apt 424
Dallas, TX 75204

Phone

(816) 651-3939

NPI assigned

Oct 11, 2020

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1164020350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 ALLEN STREET APT 424",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "816-651-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ALLEN STREET APT 424",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75204",
            "telephone_number": "816-651-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "CHRISTINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1012943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Joseph Wilcox, DPM
• Michea Danielle Wilcox
• William Wilcox
• Alexa Renae Wilden
• Claud Kern Wildenthal, M.D.
• Cynthia Kay Wilder, M.D.
• Elizabeth Wilder, M.D.
• Wildflower Telehealth Network Inc.
• Julie Wilding, LCSW
• Justin Michael Wileman, DO

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.