Michelle Antoinette Wilson, RN, CLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN.391106 Issued in OH

Practice address

1521 Dutchess Ave
Dayton, OH 45420-1335

Phone

(614) 289-8669

NPI assigned

Jun 17, 2021

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Lactation Network LLC

  • Home Health Agency
  • Chicago, IL
  • NPI 1144749391

  Lactation Consultant

  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1598334278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 DUTCHESS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201335",
            "telephone_number": "614-289-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 DUTCHESS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201335",
            "telephone_number": "614-289-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "middle_name": "ANTOINETTE",
        "credential": "RN, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OH",
            "license": "RN.391106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeisha Wilson
• Lakeisha Alaina Wilson
• Lincey Alexida Wilson, MD, MBA, MS
• Makayla Lanae Wilson
• Maria Renee Wilson
• Ramonda Willett Wilson
• Shawna Wilson
• Shawnda R Wilson
• Terry Shawn Wilson
• Tina Marie Wilson

• Lactation Consultant (Registered Nurse) in Dayton, OH
• Providers in Dayton, OH by specialty
• Lactation Consultant (Registered Nurse) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.