Lorena Rocha Wilson, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

2013-00679 Issued in NC

Practice address

19 Sangre de Cristo Dr
Durham, NC 27705-2872

Phone

(770) 653-3691

NPI assigned

Jun 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lorena Rocha Pereira Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Premier Allergist of Florida LLC

  • Allergy & Immunology Physician
  • Birmingham, AL
  • NPI 1386596245
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1497075659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SANGRE DE CRISTO DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052872",
            "telephone_number": "770-653-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SANGRE DE CRISTO DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052872",
            "telephone_number": "770-653-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORENA",
        "middle_name": "ROCHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2013-00679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORENA",
            "last_name": "PEREIRA",
            "middle_name": "ROCHA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katelyn Anne Wilson
• Kenneth Heaton Wilson, M.D.
• Kenneth James Wilson, LPC
• Latasha Wilson
• Leah Marie Wilson, LMFT
• Megan Wilson, RN
• Megan Wilson
• Michael Jeremy Wilson, DDS PA
• Reginald Calvert Wilson Jr.
• Robert J. Wilson III, M.D.

• Allergy & Immunology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.