Lois Ann Wilderman, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

535611 Issued in TX

Practice address

Family Geriatrics
5348 Davis Blvd
North Richland Hills, TX 76180

Phone

(817) 605-1707

Fax

(817) 605-1710

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mrs. Lois Wilderman Baird Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Geriatrics PA

  • Geriatric Medicine (Family Medicine) Physician
  • North Richland Hills, TX
  • NPI 1053584755
  NPD (past)
• Kaner Medical Group PA

  • Internal Medicine Physician
  • Bedford, TX
  • NPI 1639169295
  NPD (past)
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497837462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 ROLLING MEADOWS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212625",
            "telephone_number": "817-858-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY GERIATRICS",
            "address_2": "5348 DAVIS BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76180",
            "telephone_number": "817-605-1707",
            "fax_number": "817-605-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDERMAN",
        "first_name": "LOIS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "535611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF NURSE E",
            "identifier": "03689",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "BAIRD",
            "middle_name": "WILDERMAN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katelyn Dyann White, PT, DPT
• Jared Whitmire, MED, MS, ATC, LAT
• David N Whitten, MD
• Danielle Wigfall, LMSW
• Caitlin Wiggins, LMSW
• Pamela Wiley
• William J. Luck (Luck Optical)
• Alicia Allyn Williams
• Ashley Nicole Williams, LPC, LMFT
• Earne Diamond Williams, MS

• Nurse Practitioner in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.