Breann Nichole Wilson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61194174 Issued in WA

Practice address

1100 W Mallon Ave
Spokane, WA 99260-2043

Phone

(509) 477-2278

NPI assigned

Aug 17, 2021

Last updated

Aug 19, 2021By the provider in NPPES

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)

Not enrolled

Credentials

Nurse Practitioner

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

• Everhealth, LLC

  • Prison Health Clinic/Center
  • Vestavia Hills, AL
  • NPI 1053115402
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1245906700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 S ARTHUR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MALLON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992602043",
            "telephone_number": "509-477-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BREANN",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61194174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson, Allen and Associates (Sleep Dentistry Of Spokane)
• Wilson, Allen and Associates (Sleep Dentistry of Spokane, ASC)
• Anna Pauline Wilson, ARNP
• Annalee Martha Wilson, NP
• Bethany M Wilson, AAC
• Brenton Wilson, APRN,CRNA
• Brian Wilson, CRNA
• Britannie Wilson, MSW, LICSWA
• Emily Wilson, MSSA
• Emily Catherine Wilson, OTD, OTR/L

• Family Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.