Active NPI
Cheryl Linn Wilson, ARNP
- Adult Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1215095658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9186217
- Practice address
- 17417 Bridge Hill CT
Tampa, FL 33647-3467 - Phone
- (813) 972-7900
- Fax
- (813) 355-5035
- NPI assigned
- Dec 5, 2006
- 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 | ARNP9186217 | FL | Primary |
Addresses
Primary practice location
17417 Bridge Hill CT
Tampa, FL 33647-3467
Mailing address
38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01620175 | Other | FL | FMC-RR MEDICARE |
| Y09YW | Other | FL | BLUE CROSS BLUE SHIELD |
| 004587600 | Medicaid | FL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kreider Chiropractic Inc | Past | Accepting new patients |
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.
-
- Chiropractor
- Brandon, FL
- NPI 1063823359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1215095658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQ",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "813-528-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17417 BRIDGE HILL CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473467",
"telephone_number": "813-972-7900",
"fax_number": "813-355-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHERYL",
"middle_name": "LINN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9186217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FMC-RR MEDICARE",
"identifier": "P01620175",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y09YW",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004587600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.