Traci Denise Wilson, REGISTERED NURSE

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

1009308 Issued in DC

Practice address

7419 Drumlea Rd
Capitol Heights, MD 20743-3423

Phone

(240) 351-0732

NPI assigned

May 23, 2018

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1427549617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 DRUMLEA RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433423",
            "telephone_number": "240-351-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 DRUMLEA RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433423",
            "telephone_number": "240-351-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TRACI",
        "middle_name": "DENISE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "DC",
            "license": "1009308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marie Williams, LCSW-C
• Joi Khadijah Williams
• Saprane Williams
• Shadonna Williams, CNM
• Tashayla Williams
• Tynyea N Wilson
• Sandra Kay Witherspoon
• Joseph Aidan Wojciechowski, PT, DPT
• Abisola Wright
• Andre Cervante Wright II

• Emergency Registered Nurse in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Emergency Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.