Active NPI
Ariel Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Washington, DC
National Provider Identifier
1295952919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 789996
- Practice address
- 1728 Wisconsin Ave NW
#220
Washington, DC 20007-2313 - Phone
- (202) 338-0967
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA1207 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 789996 | TX | Primary |
Addresses
Primary practice location
1728 Wisconsin Ave NW
#220
Washington, DC 20007-2313
Mailing address
1728 Wisconsin Ave NW
#220
Washington, DC 20007-2313
Phone (202) 338-0967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN3210610 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1207 | CA | MD | Occupational Therapist |
| NA1207 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loma Linda Univ Anesthesiology Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Loma Linda, CA
- NPI 1104872118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1295952919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 WISCONSIN AVE NW",
"address_2": "#220",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072313",
"telephone_number": "202-338-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 WISCONSIN AVE NW",
"address_2": "#220",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072313",
"telephone_number": "202-338-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ARIEL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA1207",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "789996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN3210610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.