Sophia Lucille Wilmot, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R225015 Issued in MD

Practice address

10715 Charter Dr Ste 130
Columbia, MD 21044-2892

Phone

(443) 653-1363

NPI assigned

Nov 18, 2015

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)

Enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1225402969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 PROSPECT HILL PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 CHARTER DR STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442892",
            "telephone_number": "443-653-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 Mount Aetna Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406832",
            "country_code": "US",
            "telephone_number": "240-513-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "SOPHIA",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R225015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Willis, RN
• Lajuana McQueen Willis, R.N.
• Kathleen Theresia Willmore
• Jawann K Wills, LCSW-C
• Kathleen Wills
• Caroline T Wilner, LCSWC
• Alison Truscott Wilson, PT
• Cheri Wilson
• Christina Wilson
• Delicia Wilson

• Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.