Wilshire Interventional Pain Center LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

WILSHIRE INTERVENTIONAL PAIN CENTER LLC

Practice address

901 W 38TH St
Suite 101
Austin, TX 78705-1163

Phone

(512) 501-2110

Fax

(512) 371-8747

NPI assigned

Jul 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy McGill

Title

Director of Network Development

Phone

(972) 215-7410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1437532850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674326",
            "telephone_number": "512-467-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051163",
            "telephone_number": "512-501-2110",
            "fax_number": "512-371-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK DEVELOPMENT",
        "authorized_official_telephone_number": "972-215-7410"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wills, FNP-C
• Katherine Otecca Wills, AGACNP-BC
• Sharon M. Wills, PH.D.
• Wilmette Psychotherapy Associates, LTD
• Megan Wilridge
• Jessica Nicole Wilson Bernstine
• Sarah Angela Wilson-Kennelly, PNP
• Alexandra Wilson, M.D.
• Alexis Christine Wilson, DO
• Amelia Ann Wilson, PA-C

• Certified Registered Nurse Anesthetist in Austin, TX
• Providers in Austin, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.