W. A. Wilson Jr.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

580982 Issued in NY

Practice address

137 Montague St # 365
Brooklyn, NY 11201-3548

Phone

(718) 245-4917

NPI assigned

May 26, 2015

Sex

Male

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

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1306225107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135126",
            "telephone_number": "718-778-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MONTAGUE ST # 365",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013548",
            "telephone_number": "718-245-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "W.",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "580982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Wilson
• Theresa Wilson, CCC SLP
• Travis Eugene Wilson, CPHT
• Unique Shamir Wilson
• Verolyn Wilson
• Zoe Wilson, RDN CDN
• Ayanna Wiltshire, SPED
• Betty Onita Wiltshire
• Carolyn Wiltshire, FNP
• Kimberley Wiltshire

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.