Ladeivia Cherae Wiley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1113064 Issued in TX

Practice address

3516 22ND PL
Lubbock, TX 79410-1316

Phone

(806) 797-3322

Fax

(806) 797-6622

NPI assigned

Mar 20, 2023

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

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

FMC Long-Term Care PAGroup PAC ID 7416380423, 23 clinicians

Hill Medical Associates, LLPGroup PAC ID 4981086261, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26608/brand/1/csg/1/fhir/r4
• Direct secure messaging: ladeivia.wiley.1@26608.direct.athenahealth.com

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.

• FMC Long-Term Care, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1538703459

  Family, TX

  Medicare reassignment Care Compare group NPD
• Hill Medical Associates, LLP

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1619612892

  TX

  Medicare reassignment Care Compare group NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944

  TX

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TX

  Medicare reassignment NPD
• FMC LTC Aco LLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1942048053

  TX

  Medicare reassignment NPD (past)
• Hill Medical Associates

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1376567644
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1295437796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E GRINNELL ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794031170",
            "telephone_number": "806-300-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101316",
            "telephone_number": "806-797-3322",
            "fax_number": "806-797-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LADEIVIA",
        "middle_name": "CHERAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1113064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Wiles, APRN, FNP-BC
• Ashley Wiley
• Ashlyn Wiley
• Kendra Lea Wiley, FNP
• Kristopher F Wiley, RN
• Samuel Jarratt Wiley, M.D.
• Kellye Wilhite, M.ED., LPC, LCDC
• Angela Wilkerson, LCDC-I
• Lindsay Wilkerson, MS,CF/SLP
• Phyllis Wilkerson, NP-C

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.