Active NPI
Renee S Wilkins, P.A.-C.
- Physician Assistant
- Paoli, PA
National Provider Identifier
1609092576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA000228L
- Practice address
- 250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743 - Phone
- (610) 644-8069
- Fax
- (610) 644-6736
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA000228L | PA | Primary |
Addresses
Primary practice location
250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Mailing address
1120 Windsor Drive
West Chester, PA 19380
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA000228L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609092576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 WINDSOR DRIVE",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W LANCASTER AVE",
"address_2": "SUITE 120",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011743",
"telephone_number": "610-644-8069",
"fax_number": "610-644-6736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "RENEE",
"middle_name": "S",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA000228L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.