Carol Ellen Wilson, RN, MSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00086590 Issued in WA

Practice address

205 8TH St
Hoquiam, WA 98550-2507

Phone

(360) 236-5328

NPI assigned

Aug 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1558738641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 THRASHER AVE NE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457919",
            "telephone_number": "425-888-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502507",
            "telephone_number": "360-236-5328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Thrasher Ave NE",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "WA",
            "postal_code": "980457919",
            "country_code": "US",
            "telephone_number": "425-888-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CAROL",
        "middle_name": "ELLEN",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN00086590",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00086590",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RN00086590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH PROFESSIONAL BY MENTAL HEALTH DIVISION OF WA STATE",
            "identifier": "WAC 3888650150",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION IN PSYCHIATRIC AND MENTAL HEALTH NURSING",
            "identifier": "0216286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN00086590",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Dawn West, PTA
• Stavroula Angeliki West, LMFT
• Marla Dee Whalen
• Lydia Leopoldina Wheeler
• Wholistic Help and Therapy LLC
• Roberta Joan Wilson
• Wendy Lee Wincewicz, RN
• Sondra Aileen Winters
• Lora M Wirthlin, BS, MS, LCMHC
• Sarah Worthington, LPN, CNA

• Registered Nurse in Hoquiam, WA
• Providers in Hoquiam, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.