Taylor Nicole Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9120537 Issued in FL

Practice address

5540 Pga Blvd Ste 200
Palm Beach Gardens, FL 33418-3987

Phone

(561) 220-4475

NPI assigned

Aug 1, 2025

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

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1215811484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 SE WATER OAK PL",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691810",
            "telephone_number": "561-719-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 PGA BLVD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183987",
            "telephone_number": "561-220-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Nicole Williams, DDS
• Toni Aaliyah Willie
• Blake James Willoughby II, DDS
• Ian Wilson, DC
• Michele Lee Wilson, LMHC, CAP
• Sophia Elizabeth Holden Wiltse, BA
• Katherine Elizabeth Wimmer
• Tara Marie Wingard, PA
• Kenneth P Winnard, MD
• Stanley Walter Wisnioski III, D.O.

• Physician Assistant in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.