Heather Michelle Wilson, DPP LIFESTYLE COACH

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

778 Scogin Dr
Monticello, AR 71655-5729

Phone

(870) 460-2411

Fax

(870) 460-3597

NPI assigned

Jan 25, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1528658408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 HIGHWAY 172",
            "city": "WILMAR",
            "state": "AR",
            "postal_code": "716758915",
            "telephone_number": "870-308-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-460-2411",
            "fax_number": "870-460-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "DPP LIFESTYLE COACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwilson@drewmemorial.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Monticello",
            "address_1": "778 Scogin Dr",
            "city": "Monticello",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716555729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latisha M Williams
• Tylaria Williams
• William W Williams, DO
• Alan Kirk Wilson, M.D.
• Carol Mitchell Wilson, RN
• Nancy Michelle Wilson
• Tianna Wilson
• Tywana Wilson
• Joshua Daniel Wood, LPC
• Matthew L Wood, APRN

• Health Educator in Monticello, AR
• Providers in Monticello, AR by specialty
• Health Educator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.