Sydney Wilson, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

11127495-3102 Issued in UT

Practice address

23360 Bridle View Dr
Lindale, TX 75771-5511

Phone

(888) 408-4364

Fax

(575) 339-0915

NPI assigned

Nov 7, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1588487516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23360 BRIDLE VIEW DR",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757715511",
            "telephone_number": "888-408-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23360 BRIDLE VIEW DR",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757715511",
            "telephone_number": "888-408-4364",
            "fax_number": "575-339-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SYDNEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "UT",
            "license": "11127495-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Williams
• Virginia Christine Williams, PT
• Ashley M Williamson
• Elizabeth Dupree Wilson, PAC
• John Aaron Wilson, FNP
• Virginia Mason Wolfarth, MED., LPC
• Summer Womack
• Aliceann Wright, MS
• June Wright
• Kristen Christene Wright, LVN

• Administrator Registered Nurse in Lindale, TX
• Providers in Lindale, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.