Individual provider Active NPI

Danielle Lynn Wilson

  • Psychiatric/Mental Health Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1275034480
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7483 Issued in CT
Practice address
1266 E Main St Ste 700R
Stamford, CT 06902-3507
Phone
(877) 723-2007
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X AP7483 CT
Family Nurse Practitioner 363LF0000X AP136628 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7483 CT Primary

Addresses

Primary practice location

1266 E Main St Ste 700R
Stamford, CT 06902-3507

Mailing address

145 Lake Spring Cir
Georgetown, TX 78633-2186
Phone (512) 799-9284

Other practice location 1

145 Lake Spring Cir
Georgetown, TX 78633-2186
Phone (877) 723-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20190308000998 CT Practitioner - Nurse Practitioner 5991044935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7483CTMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Norwalk Community Health Center Inc CurrentSince Jul 11, 2022 Accepting new patients
Resolve Psychiatric Services Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients
St. David'S Carenow Urgent Care PLLC PastSince Sep 24, 2020 Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

Interoperability endpoints

  • Direct secure messaging: danielle.wilson.p1@direct.wheelerclinic.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1275034480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LAKE SPRING CIR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332186",
            "telephone_number": "512-799-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 E MAIN ST STE 700R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023507",
            "telephone_number": "877-723-2007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Lake Spring Cir",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786332186",
            "country_code": "US",
            "telephone_number": "877-723-2007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "AP7483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136628",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "7483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.