Robert Wilson, APRN-CNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

100293 Issued in OK

Practice address

929 NW 164TH St
Edmond, OK 73013-1002

Phone

(469) 337-3720

NPI assigned

Oct 5, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1235532268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 NW 164TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131002",
            "telephone_number": "469-337-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 NW 164TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131002",
            "telephone_number": "469-337-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBERT",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-05",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "100293",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "775271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP LICENSE",
            "identifier": "0100293",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Wilson, OT/L
• Joshua D Wilson, D.C.
• Karlyn Simone Wilson
• Melissa M Wilson, PHYSICAL THERAPIST
• Reghan Nicole Wilson, LMSW-P, MSW
• Serenity Nevaeh Wilson
• Sherrita Cotton Wilson, M.D.
• Tayler Renee Wilson
• Tearra Wilson
• Vicky M Wilson, LPC

• Registered Nurse in Edmond, OK
• Providers in Edmond, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; 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.