Heather Wilson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

48404 Issued in CO

Practice address

6860 S Yosemite CT Ste 2000
Centennial, CO 80112-1448

Phone

(720) 387-8131

Fax

(720) 387-8132

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Help at Home

  • In Home Supportive Care Agency
  • Parker, CO
  • NPI 1790255487
  NPD Authorized official

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1225503717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 S YOSEMITE CT STE 2000",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121448",
            "telephone_number": "720-387-8131",
            "fax_number": "720-387-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 S YOSEMITE CT STE 2000",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121448",
            "telephone_number": "720-387-8131",
            "fax_number": "720-387-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "48404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "48404",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lou Ann Wilroy
• Wilson Family Care, P.L.L.C.
• Alison Jane Wilson, PH.D.
• Elizabeth M Wilson
• Erica Wilson, OTD, OTR/L
• Jacob Wilson
• Jacquelyn S Wilson, LCSW
• Kirby W Wilson, PT
• Michaela Joy Wilson
• Parker Wilson, PSY.D.

• Licensed Practical Nurse in Centennial, CO
• Providers in Centennial, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.