Carol A Wilder

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

376682 Issued in NC

Practice address

2706 N Church St
Greensboro, NC 27405-3657

Phone

(336) 272-9990

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Treatment Center of Greensboro, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greensboro, NC
  • NPI 1245482793
  NPD
• Crossroads Treatment Center of Greensboro, PC

  dba Crossroads Treatment Center of Greensboro (Lab)

  • Clinical Medical Laboratory
  • Greensboro, NC
  • NPI 1639744063
  NPD

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1508447848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 JULIAN AIRPORT RD",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "272988036",
            "telephone_number": "336-253-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053657",
            "telephone_number": "336-272-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "CAROL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "376682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwilder@ctc.care",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2706 N Church St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274053657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Chadwick Wilcox, REGISTERED NURSE
• Wild Indigo Counseling Collective
• Colt Wyatt Wilde, DC
• Alexandra Titus Wilder, APRN-BC
• Brandy Wilder, ITFS
• Michael Robert Wildman, LCAS, CCS
• Angela Wiley, LPC, LCAS, MAC
• Jessica Wiley, RPH
• Marshall Thomas Wilfong
• Darian Wilhelm

• Nurse's Aide in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse's Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.