Daniella C Wilde, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

294565 Issued in AZ

Practice address

7010 E Acoma Dr Ste 102
Scottsdale, AZ 85254-3550

Phone

(480) 575-0576

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Arizona Wound Healers LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1366132334
  Medicare reassignment NPD
• MD Roomservice-Doctorcare

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1437342557
  NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1194402727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 S PRESIDIO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852334768",
            "telephone_number": "480-862-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E ACOMA DR STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543550",
            "telephone_number": "480-575-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "DANIELLA",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "294565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wilansky Markowitz, M.D.
• Ashley Josephine Wilcox, CPM
• Justin Graham Wilcox, PA-C
• Robert Daniel Wilcoxson, M.D.
• Lisa B Wild, OTR/L
• Heather Aura Wilde, NMD
• Kailey Wilde
• Evan Wilder, MD
• Susan S Wilder, M.D
• Wildflower Primary Care & Wellness, PLLC

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.