Laura Stanton Wilson, DVM, DACVD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7569 Issued in TN

Practice address

2001 Campbell Station Pkwy Ste C1
Spring Hill, TN 37174-7597

Phone

(615) 438-3436

NPI assigned

Aug 11, 2022

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

Electronic endpoints 1

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1427786045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RIVERSIDE DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012843",
            "telephone_number": "949-500-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CAMPBELL STATION PKWY STE C1",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371747597",
            "telephone_number": "615-438-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAURA",
        "middle_name": "STANTON",
        "name_prefix": "Dr.",
        "credential": "DVM, DACVD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "7569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lighthousevetderm.com",
            "affiliation": "N",
            "endpointDescription": "LVAD Info Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2001 Campbell Station Pkwy Ste C1",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371747597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Mark Regenold DDS PLLC
• Williamson Eye Partners, PLLC
• Williamson Pediatric Dentistry
• Carl Andrew Williamson, D.M.D., M.S.D.
• Diana Lynn Willis
• Colby Wisdom, PA-C
• Callie P Wolfe, LPN
• Kathryn Wood, RD
• Clinton Allen Woods, ATC, CSCS
• Kelly Wooldridge, PHARMD

• Dermatology Physician in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.