Cori Wilson

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

352336 Issued in TX

Practice address

2402 E 30TH St
Lubbock, TX 79404-2023

Phone

(806) 224-3059

NPI assigned

Feb 21, 2020

Last updated

Feb 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Choice Children's Homecare, LP

  dba Aveanna Healthcare

  • Home Health Agency
  • Lubbock, TX
  • NPI 1720342025
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1295368868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 82ND ST STE 150",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232766",
            "telephone_number": "806-687-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 E 30TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042023",
            "telephone_number": "806-224-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "352336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henrik Wilms, MD
• Wilson Anesthesia Lubbock PA
• Bethany Ann Wilson
• Billy Herbert Wilson, MD
• Blayke M Wilson, PA-C
• Dennis Alvin Wilson, LPC
• Elaine Wilson
• Erin Marie Wilson, LMFT-A
• Golder N. Wilson, M.D.
• Hugh H Wilson Jr., M D

• Licensed Vocational Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Licensed Vocational Nurse in Texas

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