Geraldine Wilson, APN/FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

641578 Issued in TX

Practice address

31315 FM 2920 Rd
Suite 6
Waller, TX 77484-8049

Phone

(936) 372-3003

Fax

(936) 372-9013

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• GMW Health

  • Case Management Agency
  • Houston, TX
  • NPI 1932432614
  NPD (past) Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1407046279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31315 FM 2920 RD",
            "address_2": "SUITE 6",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774848049",
            "telephone_number": "936-372-3003",
            "fax_number": "936-372-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31315 FM 2920 RD",
            "address_2": "SUITE 6",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774848049",
            "telephone_number": "936-372-3003",
            "fax_number": "936-372-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GERALDINE",
        "name_prefix": "Ms.",
        "credential": "APN/FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "641578",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "641578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waller Urgent Care Inc
• Robin Louise Warner, D.C.
• Wellness Willows Holistic Health Retreat Inc
• Wellness Willows Holistic Health Retreat Inc
• Whitney Jones DDS PLLC
• Charla K Woodle, M.ED. CCC/SLP
• WTL-the Way, Truth, and Life Outreach

• Family Nurse Practitioner in Waller, TX
• Providers in Waller, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.