Tamera Burton Wilson

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

123 Village Vista Dr
Fountain Inn, SC 29644-1347

Phone

(336) 213-0975

NPI assigned

Mar 15, 2018

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

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1457854564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 VILLAGE VISTA DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441347",
            "telephone_number": "336-213-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 VILLAGE VISTA DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441347",
            "telephone_number": "336-213-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TAMERA",
        "middle_name": "BURTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Welborn, FNP
• Wells Therapy Center, LLC
• Dennis Dale Wells, NCC, LPC, LPCS
• Raymond Earl White Jr., DMD
• Demetria Sharpe Wilson, COTA/L
• Melinda Wilt, COTA/L
• Gretchen Wirick, COTA/L

• Prosthetics Case Management in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.