Lorena Lissette Wilson, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R180385 Issued in MD

Practice address

9000 Rockville Pike
Bethesda, MD 20892-5655

Phone

(301) 385-8748

Fax

(301) 480-3054

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Deardorff & Camacho

  • Specialist
  • Falls Church, VA
  • NPI 1205161205
  NPD (past)
• My Family Doctor

  • Specialist
  • Herndon, VA
  • NPI 1659405843
  NPD (past)
• Panamerican Internal Medicine, P.C.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1689868671
  NPD (past)

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1619114352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE ROOM 9N248D",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208922631",
            "telephone_number": "301-385-8748",
            "fax_number": "301-480-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208925655",
            "telephone_number": "301-385-8748",
            "fax_number": "301-480-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORENA",
        "middle_name": "LISSETTE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024168613",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "1005179",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R180385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "R180385",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delon Wilson, MD
• Erin E Wilson
• Geoffrey William Wilson, MD
• James E Wilson Jr., M.D.
• Lorelei McCastle Wilson
• Michael Gabriel Wilson, DO
• Nancy Cedar Wilson, MSW, LCSW-C
• Paige Wilson
• Sara Merkl Wilson, M.D.
• Tynan Wilson, M.D.

• Adult Health Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Adult Health Nurse Practitioner in Maryland

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