Active NPI
Vicki Wilson, M.S.
- Audiologist
- Brockton, MA
National Provider Identifier
1598031916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 327
- Practice address
- 35 Pearl St
Brockton, MA 02301-2866 - Phone
- (508) 580-3637
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 327 | MA | Primary |
Addresses
Primary practice location
35 Pearl St
Brockton, MA 02301-2866
Mailing address
22 Trowbridge Cir
Stoughton, MA 02072-1024
Phone (617) 818-5704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327 | MA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1598031916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 TROWBRIDGE CIR",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020721024",
"telephone_number": "617-818-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 PEARL ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012866",
"telephone_number": "508-580-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VICKI",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.