Active NPI
Sharon Garrett Wilson, NA
- Nurse's Aide
- Centerville, TN
National Provider Identifier
1609053834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 8204
- Practice address
- 111 Murphree Ave
Centerville, TN 37033-1418 - Phone
- (931) 729-3516
- Fax
- (931) 729-5029
- NPI assigned
- Jan 30, 2008
- Last updated
- Jun 7, 2010
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 8204 | TN | Primary |
Addresses
Primary practice location
111 Murphree Ave
Centerville, TN 37033-1418
Mailing address
118 Perry St
P.O. Box 241
Centerville, TN 37033-1338
Phone (931) 729-3516
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8204 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1609053834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 PERRY ST",
"address_2": "P.O. BOX 241",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331338",
"telephone_number": "931-729-3516",
"fax_number": "931-729-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MURPHREE AVE",
"city": "CENTERVILLE",
"state": "TN",
"postal_code": "370331418",
"telephone_number": "931-729-3516",
"fax_number": "931-729-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SHARON",
"middle_name": "GARRETT",
"name_prefix": "Mrs.",
"credential": "NA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TN",
"license": "8204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.