Organization Active NPI

Ma Wilkinson Aprn LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1518246644
Registry record updated Aug 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MA WILKINSON APRN LLC
Practice address
5500 Knoll North Dr
Suite 310
Columbia, MD 21045-2370
Phone
(410) 964-5226
Fax
(410) 964-5249
NPI assigned
Aug 7, 2011
Last updated
Aug 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2011

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

Authorized official

Name
Eric Wilkinson
Title
Administrator
Phone
(410) 964-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

5500 Knoll North Dr
Suite 310
Columbia, MD 21045-2370

Mailing address

11122 Proudfoot PL
Columbia, MD 21044-1047
Phone (410) 964-5226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312675200000",
    "number": "1518246644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 PROUDFOOT PL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441047",
            "telephone_number": "410-964-5226",
            "fax_number": "410-964-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR",
            "address_2": "SUITE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452370",
            "telephone_number": "410-964-5226",
            "fax_number": "410-964-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA WILKINSON APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-07",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-964-5226"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; 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.