Heather Wilson, RBT

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

RBT-15-10278 Issued in FL

Practice address

103 Lewis St
Fort Walton Beach, FL 32547-3142

Phone

(850) 685-1772

NPI assigned

Jul 17, 2016

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

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.

• Beyond Expectations Inc.

  • Multi-Specialty Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1114278686
  NPD (past)

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1164875993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LEWIS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473142",
            "telephone_number": "850-685-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LEWIS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473142",
            "telephone_number": "850-685-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-17",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": "RBT-15-10278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scot T Williams, PA
• William Williamson
• Barbara E Wilson
• Cali Wilson, PA-C
• Crystal Larae Wilson
• Matthew J Wilson, LMT
• Reemeka Lasha Wilson, MASTER OF SCIENCE
• Beverly Wilusz, LMHC
• Abbey Winblad, PT
• Robert Edward Winkler Jr., ATC

• Other Technician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; 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.