Organization Active NPI

Wilson Healthcare Consultants LLC

  • Internal Medicine Physician
  • St Thomas, VI
National Provider Identifier
1487043428
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1843 Issued in VI
Legal business name
WILSON HEALTHCARE CONSULTANTS LLC
Practice address
9149 Estate Thomas
Paragon BLDG Ste 202
St Thomas, VI 00802-2615
Phone
(340) 776-5507
Fax
(340) 776-7935
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Jessica A Wilson, M.DNPI 1154496040
Title
Owner
Phone
(340) 776-5507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1843 VI Primary

Addresses

Primary practice location

9149 Estate Thomas
Paragon BLDG Ste 202
St Thomas, VI 00802-2615

Mailing address

9149 Estate Thomas
Paragon BLDG Ste 202
St Thomas, VI 00802-2615
Phone (340) 776-5507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150122000772 VI Part B Supplier - Clinic/Group Practice 8325362304 Receives reassigned benefits from 2 practitioners
Practice locations: St Thomas, VI

National Provider Directory

National Provider Directory

Locations

5328 Yacht Haven Grande
Ste 110
St Thomas, VI 00802
Phone (340) 776-5507

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1487043428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON BLDG STE 202",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-776-5507",
            "fax_number": "340-776-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS",
            "address_2": "PARAGON BLDG STE 202",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022615",
            "telephone_number": "340-776-5507",
            "fax_number": "340-776-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON HEALTHCARE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "340-776-5507",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.