Nichole Carol Wilson, RN

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

420 E Main Ave Apt 610
Bismarck, ND 58501-4068

Phone

(701) 426-0464

NPI assigned

Jan 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1487425039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585547011",
            "telephone_number": "701-426-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MAIN AVE APT 610",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014068",
            "telephone_number": "701-426-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 46th Ave SE Apt 202",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585544852",
            "country_code": "US",
            "telephone_number": "701-426-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NICHOLE",
        "middle_name": "CAROL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ND",
            "license": "R54683",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Kobina Wilson
• Jenise Delores Wilson, MS, LPCC
• Jonathan O. Wilson
• Kimberly Wilson, PHARM D
• Kiyanna G Wilson
• Timothy Wilson
• Shawna Wing, MS, OTR/L
• Madison Hope Winkle, LPCC, LAC
• Carol J Winkler, DC
• Kimberly Kate Winters, APRN, CNP

• Personal Care Attendant in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.