Michelle Colleen Wilson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

560377 Issued in NY

Practice address

66 Hawley St
Binghamton, NY 13901-3833

Phone

(607) 772-6515

NPI assigned

Sep 15, 2020

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

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.

• Stafkings Healthcare Systems, Inc.

  • Home Health Agency
  • Binghamton, NY
  • NPI 1902973613
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1598370686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CHRISFIELD AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902703",
            "telephone_number": "607-761-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HAWLEY ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013833",
            "telephone_number": "607-772-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "middle_name": "COLLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "560377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Wilson, LCSW
• Kristin Wilson
• Maria Carol Wilson, CCC-SLP
• Mary Ann Wilson, AU.D.
• Michael Patrick Wilson, DDS
• Natra Wilson
• Crystal L Winans
• Dylan James Winter, DO
• Julie Wintersteiner, MS, RDN, CDN
• Daniel Joseph Wiscovitch, LMSW

• Registered Nurse in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.