Tracey Wilds, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5766 Issued in CT

Practice address

2200 Whitney Ave
Suite 360
Hamden, CT 06518-3691

Phone

(203) 281-4463

Fax

(203) 287-2930

NPI assigned

Feb 22, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1356663082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDS",
        "first_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "5766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Pediatrics & Adolescent Medicine, P.C.
• Whitneyville Physical Therapy Partners
• Whole Health Natural Family Medicine
• Allison Marie Wick, PA-C
• Shirvinda A Wijesekera, M.D.
• Deborah L. Wilkinson, RPT
• Eric G Williams, PT, DPT, ATC
• Kyra Williams
• Mackeisha Williams
• Vincent J Williams, M.D.

• Adult Health Nurse Practitioner in Hamden, CT
• Providers in Hamden, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.