Betsy Vance Wilson, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R 110418-3 Issued in MN

Practice address

920 E 28TH St
Suite 620
Minneapolis, MN 55407-1139

Phone

(612) 863-7065

Fax

(612) 863-6515

NPI assigned

Mar 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427172881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 W OWASSO BLVD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132167",
            "telephone_number": "651-415-0668",
            "fax_number": "612-863-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 28TH ST",
            "address_2": "SUITE 620",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071139",
            "telephone_number": "612-863-7065",
            "fax_number": "612-863-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BETSY",
        "middle_name": "VANCE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MN",
            "license": "R 110418-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN NURSING LISENSE",
            "identifier": "R 110418-3",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony Wilson-Sinkfield
• Adjoko Wilson, RN, BSN, PHN
• Angelica Walton Wilson
• Ashley Elizabeth Wilson, MD
• Athena Jade Wilson
• Carol J Wilson
• Dawn Elizabeth Wilson, RN, CNS
• Dena Marie Wilson
• Douglas Gregg Wilson, MD
• Etoy Wilson

• Administrator Registered Nurse in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Administrator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.