Basil Alexander Wilson, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 2068702 Issued in FL

Practice address

1801 Crystal Lake Dr
Lakeland, FL 33801-5979

Phone

(863) 937-8886

Fax

(863) 937-8892

NPI assigned

Jul 20, 2005

Sex

Male

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 3

Other names 1

• Mr. Basil A. Wilsom Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Healthcaring Clinic of Florida, LLC

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1003914441
  NPD (past)
• Tommy L Louisville MD PA

  • Non-Pharmacy Dispensing Site
  • Lakeland, FL
  • NPI 1295143295
  NPD (past)
• Tommy L. Louisville, M.D., PA

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1780785964
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1447259569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 FOXRUN CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132229",
            "telephone_number": "954-260-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-937-8886",
            "fax_number": "863-937-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BASIL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2068702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303424100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC NATIONAL CERT.",
            "identifier": "034712822",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ARNP 2068702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BASIL",
            "last_name": "WILSOM",
            "middle_name": "A.",
            "prefix": "MR.",
            "credential": "ARNP, FNP, BC, MS,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Willows Path Counseling
• Elizabeth Wills
• Teresa L Wilmoth, ARNP
• Dana Wilson-Lowder
• Miranda Wilson-Lugo
• Brenda Wilson
• Desre N Wilson, RBT
• Heather Michelle Wilson, APRN
• Isabelle Lorane Wilson, PA-C
• James Allen Wilson, MD

• Family Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.