Summer L Wilson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN0041434 Issued in CO

Practice address

3501 S Main St
Lamar, CO 81052-4336

Phone

(719) 336-3600

Fax

(719) 336-2600

NPI assigned

Feb 4, 2022

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 names 1

• Summer L Hilzer Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Treatment Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greeley, CO
  • NPI 1053837153
  NPD (past)
• Southeast Colorado for Drug-Free Communities, Inc.

  dba Drug-Free Communities

  • Addiction (Substance Use Disorder) Counselor
  • Lamar, CO
  • NPI 1316152101
  NPD (past)

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1558015073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810521417",
            "telephone_number": "719-336-2600",
            "fax_number": "719-336-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S MAIN ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810524336",
            "telephone_number": "719-336-3600",
            "fax_number": "719-336-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUMMER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "PN0041434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "HILZER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yvonne Westhoff, RDH
• Heather Whisenand
• Wholehearted Connection
• Wholehearted Connection, LLC
• Tamela Ray Marie Williams, RN
• Anna Wollert, RN
• Tianne Woodward
• Karla Kay Work

• Licensed Practical Nurse in Lamar, CO
• Providers in Lamar, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.