Venessa Marie Wilson, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN76133 Issued in NV

Practice address

1528 US Highway 395 N Ste 100
Gardnerville, NV 89410-5226

Phone

(775) 782-3671

Fax

(775) 782-6639

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By 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

Registered Nurse

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1255963732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 US HIGHWAY 395 N STE 100",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105226",
            "telephone_number": "775-782-3671",
            "fax_number": "775-782-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 US HIGHWAY 395 N STE 100",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105226",
            "telephone_number": "775-782-3671",
            "fax_number": "775-782-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VENESSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NV",
            "license": "RN76133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Q Williams, PHARMD
• Michelle Williams
• Michelle Williams
• Kelly Wilson-Gustafson, MA, LAT, ATC
• Katie Wilson, COTA
• Desiree Witteman
• Christine M Wittorff, LAT, ATC, PTA
• Joseph George Yost III, BSC
• Marcie Young
• Ralph Arnold Zastrow, IDC

• Adult Psychiatric/Mental Health Registered Nurse in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.