Individual provider Active NPI

Meghan Elizabeth Wilde

  • Counselor
  • Miami Gardens, FL
National Provider Identifier
1174158224
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
17569 Issued in FL
Practice address
1515 NW 167TH St Ste 180
Miami Gardens, FL 33169-5145
Phone
(786) 923-3468
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 17569 FL Primary

Addresses

Primary practice location

1515 NW 167TH St Ste 180
Miami Gardens, FL 33169-5145

Mailing address

6745 Miami Lakes Dr Apt 228
Miami Lakes, FL 33014-8110
Phone (786) 858-4500

Other names 1

  • Meghan Elizabeth Wilde Rowland Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17569FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1174158224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 MIAMI LAKES DR APT 228",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330148110",
            "telephone_number": "786-858-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 180",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695145",
            "telephone_number": "786-923-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "17569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "ROWLAND",
            "middle_name": "ELIZABETH WILDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.