Susan Ann Wilson, RN, BSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

223536 Issued in AZ

Practice address

31501 N Westland Rd
Peoria, AZ 85383-7846

Phone

(623) 773-6579

Fax

(623) 773-6580

NPI assigned

Sep 10, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1306451950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 W VILLA CHULA CT",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853735420",
            "telephone_number": "623-383-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31501 N WESTLAND RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837846",
            "telephone_number": "623-773-6579",
            "fax_number": "623-773-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "223536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Peoria",
            "affiliation": "N",
            "endpointDescription": "Lake Pleasant Elementary",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Peoria",
            "address_1": "31501 N Westland Rd",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853837846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darian E Wilson, DPM
• Hyon Su Wilson, ACNPC-AG
• Nicole Wilson, COTA/L
• Sara A Wilson, PA-C
• Stephanie Marie Wilson
• Tiffany M Wilson, APRN
• Ciandra Winkels
• Courtney Nicole Winters, PA
• Hal Robert Winters, DC
• Samantha Ashlee Wirth, DNP, FNP-BC, FNP-C

• School Registered Nurse in Peoria, AZ
• Providers in Peoria, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.