Damie J Wilson

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R1971992 Issued in MN

Practice address

701 Minnesota Ave S
Aitkin, MN 56431-1852

Phone

(218) 670-1855

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1417651100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MINNESOTA AVE S",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311852",
            "telephone_number": "218-670-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MINNESOTA AVE S",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311852",
            "telephone_number": "218-670-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAMIE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R1971992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Ap Trueblood, MD
• Cathleen Ann Twistol
• Jean E Twomey, L.AC.
• Ann Wedel, PT PHYSICAL THERAPIS
• William E. Stein, D.D.S.
• Andrea Lynn Wippler, NP
• Megan M Workman, C-FNP
• John Wesley Ziebarth, CRNA
• Kathryn E. Ziebarth, CRNA
• Megan Zilmer, LD RD

• Home Health Registered Nurse in Aitkin, MN
• Providers in Aitkin, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.