Alice Jean Wilt, PA

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

103 W 5TH Ave
Ranson, WV 25438-1405

Phone

(304) 725-4044

NPI assigned

Jul 30, 2020

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

Credentials

Physician Assistant

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1477162857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 FAMILY CEMETARY RD",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "254302916",
            "telephone_number": "304-886-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 5TH AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381405",
            "telephone_number": "304-725-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "ALICE",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Virginia University Medical Corporation
• Terri White
• Christine M Whitman, M.D.
• Stephanie Ann Whitmore
• William S Miller, MD, PC
• Winchester Orthopaedic Physical Therapy LLC
• Winchester Physical Therapy & Sports Medicine, Inc.
• Tammy M Woomer
• Wvu Medical Corporation
• Wvu Medical Office Building

• Homemaker in Ranson, WV
• Providers in Ranson, WV by specialty
• Homemaker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.