Christopher Ambler Wiley, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11018962 Issued in FL

Practice address

2837 1St Ave N
St Petersburg, FL 33713-8603

Phone

(727) 334-1546

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1487339917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MIRROR LAKE DR N APT 402",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013256",
            "telephone_number": "727-871-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138603",
            "telephone_number": "727-334-1546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Mirror Lake Dr N Apt 402",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337013256",
            "country_code": "US",
            "telephone_number": "727-871-5524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "AMBLER",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Mae Wilder VII, BA
• Darbie Leigh Wilder, R.D.
• Dawn Mitchell Wilder
• Sarah Kate Wilder, M.ED./ED.S.
• Amy Wiley, APRN
• Dewitt Wilkerson, D.M.D
• Tasha R. Wilkerson, LCSW
• Donna Wilkinson, APRN-C
• Devon Willette
• Edward Norburn Willey, M.D.

• Psychiatric/Mental Health Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.