Sandy Denise Wilson, DNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000011674 Issued in TN

Practice address

9208 King Palm Dr
Tampa, FL 33619-1328

Phone

(813) 827-9750

Fax

(813) 827-1992

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1588870620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 KING PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191328",
            "telephone_number": "813-827-9750",
            "fax_number": "813-827-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9208 KING PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191328",
            "telephone_number": "813-827-9750",
            "fax_number": "813-827-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SANDY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "DNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "363L00000X",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000011674",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raylon Wilson, MSW, LCSW
• Rick Wilson, PT
• Rita Maria Wilson, A.R.N.P.
• Robert G Wilson, D.O.
• Samanta Wilson, APRN
• Shannon Wilson, BCBA
• Simon Arn Wilson, MD
• Skylar Wilson, MD
• Tanner Wilson
• Taylor Constance Wilson

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.