Jessica Wilde, F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132311 Issued in TX

Practice address

4360 Thousand Oaks Dr
San Antonio, TX 78217-2153

Phone

(210) 655-2300

NPI assigned

Oct 18, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dr. George & Associates P.a.

  • General Practice Physician
  • San Antonio, TX
  • NPI 1508691411
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1548711153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 THOUSAND OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172153",
            "telephone_number": "210-655-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 THOUSAND OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172153",
            "telephone_number": "210-655-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "JESSICA",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP132311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wilcox, MA, LPC
• Wild Courage Counseling, PLLC
• Carlos Wild, CRNA
• Samantha Wild, APRN FNP-C
• Elida Marie Wildberger, RN, MSN, OCN
• Kathleen Marie Wilde, LCSW
• Susan E Wilden, LISW
• Alyssa Jene Wilder, DO
• Gwendolen Wilder
• James L Wilder, MD

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.