Sharon Rose Wilson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703088660 Issued in MI

Practice address

10225 Tripp Rd
Pittsford, MI 49271-9795

Phone

(517) 425-7661

NPI assigned

Mar 26, 2018

Last updated

Mar 26, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1427553262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E BUTLER ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 TRIPP RD",
            "city": "PITTSFORD",
            "state": "MI",
            "postal_code": "492719795",
            "telephone_number": "517-425-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703088660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jean Hickok
• Houser Furniture Inc (Kelly's Furniture Store)
• Daniel Maldonado, D.C.
• Pamela Petersson Counseling
• Michelle Tuckerman
• Danielle Anais Winzeler, FNP-C

• Licensed Practical Nurse in Pittsford, MI
• Providers in Pittsford, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.