Anne Marie Wilson, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

097000152RN Issued in OR

Practice address

3664 Fairhaven Dr
West Linn, OR 97068-3779

Phone

(503) 409-0838

NPI assigned

Jul 23, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1316556574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 FAIRHAVEN DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683779",
            "telephone_number": "503-409-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 FAIRHAVEN DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683779",
            "telephone_number": "503-409-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "097000152RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NUMBER",
            "identifier": "097000152RN",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@ranne.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3664 Fairhaven Dr",
            "city": "West Linn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970683779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willamette Falls Hospital (West Linn Internal Medicine)
• Willamette Nurse Consultant Group LLC
• Willamette Pain and Spine Center, PC
• Willamette Procedure Center PC
• Kelly Anne Williams, RN
• Megan Nichole Wimberly, FNP-BC
• Addison Brown Wise, PT, DPT
• Adria Withrow
• Karoline Woitke, PA-C
• Lisa S Wolf, OTR/L

• Community Health Registered Nurse in West Linn, OR
• Providers in West Linn, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.