Marisa Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009474 Issued in PA

Practice address

2260 Babcock Blvd
Suite 2
Pittsburgh, PA 15237-3214

Phone

(570) 401-1910

NPI assigned

Apr 12, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1306060983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 BABCOCK BLVD",
            "address_2": "SUITE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373214",
            "telephone_number": "570-401-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 BABCOCK BLVD",
            "address_2": "SUITE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373214",
            "telephone_number": "570-401-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11494072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC009474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Wilson, BA, PSYCHOLOGY
• Lashawn Wilson
• Laura Grace Wilson, M.D.
• Lisa Wilson, CRNP
• Lisa Marie Wilson, LPC
• Mark Alan Wilson, MD, PHD
• Mark R Wilson, PA-C
• Matthew Francis Wilson, LCSW
• Megan Wilson
• Melissa Wilson, PA

• Chiropractor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.