Sheila Lanell Wilson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

08001636A Issued in IN

Practice address

5637 W 56TH St
Indianapolis, IN 46254-1652

Phone

(317) 297-8800

Fax

(317) 297-9850

NPI assigned

Nov 11, 2006

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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitality Chiropractic LLC

  • Health Service Clinic/Center
  • Indianapolis, IN
  • NPI 1447062393
  NPD

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1366513475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 W 56TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541652",
            "telephone_number": "317-297-8800",
            "fax_number": "317-297-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 W 56TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541652",
            "telephone_number": "317-297-8800",
            "fax_number": "317-297-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHEILA",
        "middle_name": "LANELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08001636A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131080 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Wilson, LCSW
• Rylan Brooks Wilson
• Samantha Skinner Wilson, MD
• Samantha Stone Wilson, M.S., CF-SLP
• Sarah A Wilson, DDS
• Shunte Wilson, MSW
• Spencer Allison Wilson, M.D.
• Stacey Wilson
• Susan W Wilson, MD
• Susana Wilson, LCSW

• Sports Physician Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Sports Physician Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.