Deidre Wilson, FNP-C, A-GNPN, MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP136799 Issued in TX

Practice address

4000 Embarcadero Dr
Arlington, TX 76014-4101

Phone

(817) 542-4800

Fax

(817) 524-4089

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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 and National Provider Directory roles.

• Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
  • NPI 1215533807
  Medicare reassignment NPD

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1245692094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 N MAIN ST UNIT 1067",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633280",
            "fax_number": "843-790-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EMBARCADERO DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144101",
            "telephone_number": "817-542-4800",
            "fax_number": "817-524-4089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 W Ih 10",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782303868",
            "country_code": "US",
            "telephone_number": "945-301-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DEIDRE",
        "credential": "FNP-C, A-GNPN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "843837",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP136799",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP136799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilnick Surgical Supply
• A'Mia Michelle Wilson
• Annie Claire Wilson, DDS
• Ashleigh Hightower Wilson
• Chane Wilson
• Eric M. Wilson, D.D.S.
• Frank Wayne Wilson, D.D.S., F.A.G.D.
• Jack A. Wilson, D.D.S.
• Jenna Lynn Wilson, FNP-BC
• Sarah Wilson, LMT

• Adult Health Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.