Active NPI
Dania Alexa Wilson, NP
- Adult Health Nurse Practitioner
- New London, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN01341
- Practice address
- 194 Howard St
New London, CT 06320-5544 - Phone
- (860) 444-4737
- Fax
- (860) 865-2375
- NPI assigned
- Aug 28, 2013
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN01341 | RI | Primary |
Addresses
Primary practice location
194 Howard St
New London, CT 06320-5544
Mailing address
194 Howard St
New London, CT 06320-5544
Phone (860) 444-4737
Other practice location 1
45 Wells St Ste 104
Westerly, RI 02891-2927
Phone (860) 444-4737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
194 Howard St
New London, CT 06320-5544
Phone (860) 444-3366
45 E Ave
Westerly, RI 02891-3113
Phone (401) 637-4186
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8650 | CT | MD | Social Worker |
| APRN01341 | RI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients |
Locations
194 Howard St
New London, CT 06320
Phone (860) 442-0564
91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
45 Wells St
Ste 104
Westerly, RI 02891
Phone (401) 348-0008
45 Wells St
Westerly, RI 02891
Phone (401) 348-0008
45 East Ave
Westerly, RI 02891
Phone (401) 596-6000
Interoperability endpoints
- dwilson451737@direct.ynhh.org
Organizations & group practices 1
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1164856035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 HOWARD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063205544",
"telephone_number": "860-444-4737",
"fax_number": "860-865-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 HOWARD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063205544",
"telephone_number": "860-444-4737",
"fax_number": "860-865-2375"
}
],
"practiceLocations": [
{
"address_1": "45 Wells St Ste 104",
"address_purpose": "LOCATION",
"city": "Westerly",
"state": "RI",
"postal_code": "028912927",
"country_code": "US",
"telephone_number": "860-444-4737",
"fax_number": "860-865-2375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "DANIA",
"middle_name": "ALEXA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "RI",
"license": "APRN01341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.