Jessica Kay Wilson, HM61029496

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HM61029496 Issued in WA

Practice address

1924 Van Wormer St
Centralia, WA 98531-1947

Phone

(360) 330-2984

NPI assigned

Dec 1, 2021

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

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1508524026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SW 10TH ST",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985324706",
            "telephone_number": "360-523-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 VAN WORMER ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311947",
            "telephone_number": "360-330-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "KAY",
        "credential": "HM61029496",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "HM61029496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Willson
• Wilson & Wilson, DDS PLLC
• Barry K Wilson, M.D.
• Christian Patrick Wilson, D.D.S.
• Courtney Paige Wilson
• Kimberly Michelle Wilson, L.M.P. AND L.A.C.
• Michelle Bergmann Wilson, DDS
• Paula Wilson
• Rebekah Ruby Lin Wilson
• Robert Wilson, AAC

• Home Health Aide in Centralia, WA
• Providers in Centralia, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.