Sandra D Wilson, MS

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

230162951 Issued in IN

Practice address

5461 Portman Dr
Noblesville, IN 46062-8225

Phone

(317) 413-9608

NPI assigned

Aug 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Parents at Home Companion Care LLC

  • In Home Supportive Care Agency
  • Noblesville, IN
  • NPI 1457033706

  Home Health Aide

  NPD Authorized official

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1245842897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 PORTMAN DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628225",
            "telephone_number": "317-419-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 PORTMAN DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628225",
            "telephone_number": "317-413-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SANDRA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "230162951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Wilson, LMHC
• David E Wilson, M.D.
• Elizabeth Wilson, MS, FNP-C
• Hailey Meree Wilson
• Julia R Wilson
• Deanna L Winter, M.D.
• Kelly A Wire, LMHC
• Adam Ryan Wischmeier, PHARMD, BCOP
• Melanie Witkowski
• Jeanne Witt

• Home Health Aide in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.