Shakirah Wilson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0039898 Issued in OH

Practice address

3725 Hildana Rd
Shaker Heights, OH 44120-5005

Phone

(216) 855-3637

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Patient-Centered Care Staffing Agency

  • Non-emergency Medical Transport (VAN)
  • Shaker Heights, OH
  • NPI 1780398552
  NPD Authorized official
• Patient-Centered Care Staffing Agency

  • Nursing Care Agency
  • Shaker Heights, OH
  • NPI 1851966071
  NPD Authorized official
• Person-Centered Behavioral Homes

  • Community/Behavioral Health Agency
  • Shaker Heights, OH
  • NPI 1003686478
  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1285227223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 HILDANA RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205005",
            "telephone_number": "216-855-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 HILDANA RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205005",
            "telephone_number": "216-855-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3725 Hildana Rd",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "441205005",
            "country_code": "US",
            "telephone_number": "216-417-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHAKIRAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.402097",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "402097",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0039898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Williams
• Willie. S. Williams, PH.D., LLC
• Belinda Willis, LPN
• Christian Willis
• Dequan Willoughby
• Linda Jean Brewer Wilt
• Sha'Myrah Wingfield
• Wingspan Care Group
• Wingspan Care Group
• Vivian D Winston

• Psychiatric/Mental Health Nurse Practitioner in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.