Jillian Wilson, MA,RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86119687 Issued in NY

Practice address

4800 Bear Rd
Liverpool, NY 13088-4604

Phone

(315) 200-2181

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1568047892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 HENNEBERRY RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049567",
            "telephone_number": "315-200-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BEAR RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884604",
            "telephone_number": "315-200-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JILLIAN",
        "credential": "MA,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86119687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Allison Williams, DDS
• Triush Tence Williams, LPN
• Robert Douglas Willis, D.D.S.
• Brooke Wills-Thomas, BCBA
• Erika Wilsch, MS. CCC-SLP
• Jodie C Wilson, LCSW-R
• M. Daveda Wingenbach, PT
• Ashleigh B Wingood
• Jennifer Wingood, PHARMD
• Savannah Raine Winks

• Registered Dietitian in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.