Amanda S Wilson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

12108 Auburn CT
Pickerington, OH 43147-8466

Phone

(614) 506-9720

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jerri L'S Healthcare Solutions LLC

  • Non-emergency Medical Transport (VAN)
  • Pickerington, OH
  • NPI 1982329256
  NPD Authorized official

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1467825950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 AUBURN CT",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478466",
            "telephone_number": "614-506-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 AUBURN CT",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478466",
            "telephone_number": "614-506-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Upton Rd N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432325242",
            "country_code": "US",
            "telephone_number": "614-364-6409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMANDA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "159264",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Franklin Williams, DPT
• Nyemadi Williams
• Paul David Williams, PC
• Sonia Williams, LPN
• Amanda Marie Williamson
• Ashely Wilson
• Dennerra Brenae Wilson
• Erin H Wilson, P.T.
• Jhaquanna Wilson
• Shane Wilson

• Non-emergency Medical Transport (VAN) in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.