Loco Wilcox, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

10005 Issued in NC

Practice address

6881 County Place Dr
Hope Mills, NC 28348-7856

Phone

(910) 308-6101

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1356076582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 COUNTY PLACE DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487856",
            "telephone_number": "910-308-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 COUNTY PLACE DR",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487856",
            "telephone_number": "910-308-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "LOCO",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NC",
            "license": "10005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477079663",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FusionWeb",
            "affiliation": "N",
            "address_1": "6881 County Place Dr",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283487856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Odyessey Webb, LPCA
• Carla West, CD(DTI)
• Terry Wheeler Sr.
• Tammie Marie Wiesner
• Eddrena C Wiggins, MSW
• Williams Group Management LLC
• Ja'Niya Marie Williams
• Leyni Melody Williams, LCSW
• Mary-Ashleigh Williams, LCSW-A
• Shavonda Williams, M.ED, LCMHCA

• Registered Respiratory Therapist in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Registered Respiratory Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.