Nikki Marie Wilborn, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

AP136321 Issued in TX

Practice address

276 Northside Rd
Victoria, TX 77904-5227

Phone

(361) 571-3773

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265941660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 NORTHSIDE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779045227",
            "telephone_number": "361-571-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NORTHSIDE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779045227",
            "telephone_number": "361-571-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541906",
            "country_code": "US",
            "telephone_number": "713-790-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBORN",
        "first_name": "NIKKI",
        "middle_name": "MARIE",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "AP136321",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "TX",
            "license": "769486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Alexis Whiteley
• Brenda Ellen Whitfield, L.P.C., R.P.T.
• Kelly Michele Whitson, FNP-C
• Kenneth Ray Wiedenfeld, D.D.S.
• Marshall Wiener, M.D.
• Charla Gay Wilhelm, R.N.
• William B. Shay, M.D., P.a.
• Darlyn Williams, APRN
• Latoshia Lataye Williams
• Robert R Williams

• Neonatal Nurse Practitioner in Victoria, TX
• Providers in Victoria, TX by specialty
• Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.