Individual provider Active NPI

Lilian Anet Wilson, ARNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1174953863
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9345700 Issued in FL
Practice address
11250 SW 151St CT
Miami, FL 33196-2551
Phone
(305) 301-7377
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9345700 FL Primary

Addresses

Primary practice location

11250 SW 151St CT
Miami, FL 33196-2551

Mailing address

11250 SW 151St CT
Miami, FL 33196-2551
Phone (305) 301-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190325002335 FL Practitioner - Nurse Practitioner 5092096917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9345700FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Romeo E Rojas MD PA CurrentSince Jan 1, 2019 Accepting new patients

Locations

12002 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 234-8264

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1174953863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 SW 151ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962551",
            "telephone_number": "305-301-7377",
            "fax_number": "305-397-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 SW 151ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962551",
            "telephone_number": "305-301-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LILIAN",
        "middle_name": "ANET",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9345700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.