Vinette Martin Wilson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

158720 Issued in GA

Practice address

45 W Crossville Rd
Suite 501
Roswell, GA 30075-2964

Phone

(770) 594-1233

NPI assigned

Apr 13, 2015

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)

Not 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.

• Crabapple Internal Medicine, PC

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1013991595
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1407242779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DEER VALLEY DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048961",
            "telephone_number": "205-218-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W CROSSVILLE RD",
            "address_2": "SUITE 501",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752964",
            "telephone_number": "770-594-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VINETTE",
        "middle_name": "MARTIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "158720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Nest Chiropractic LLC
• Bonnie Kay Wilson, LMT
• Kaitlyn Marie Wilson, OTR/L
• Ryan Edward Wilson, MD
• Sidney L Wilson
• Katherine Mackenzie Wood Wimbley, PHARMD
• Lori Windham, LPC
• Richard Steven Winer, M.D.
• Wendy Winer, RN
• Winn Health Labs, LLC

• Family Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.