Denise Wilson, RN-CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

35476 Issued in SC

Practice address

3236 Holmestown Rd
Suite E-1
Myrtle Beach, SC 29588-7495

Phone

(843) 663-8000

Fax

(843) 663-8158

NPI assigned

Apr 1, 2016

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

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1285097758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295660547",
            "telephone_number": "843-663-8009",
            "fax_number": "843-663-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 HOLMESTOWN RD",
            "address_2": "SUITE E-1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887495",
            "telephone_number": "843-663-8000",
            "fax_number": "843-663-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DENISE",
        "credential": "RN-CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "35476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Neal Williams, OD
• Todd E Williams, M.D.
• Virginia Caroline Williams, MD
• Willis Chiro Med-MB, Inc.
• Scott Willis, D.C.
• Jacquelyne Jones Wilson, MA, LPC
• Lisa Marie Wilson, PA
• Shaliah Deaisja Monteia Wilson
• Charlotte Wiltshire, RDN
• Rita Windes, LPN

• Diabetes Educator Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Diabetes Educator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.