Active NPI
Ralph Wilson, N.D.
- Naturopath
- Washington, DC
National Provider Identifier
1629210489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-130
- Practice address
- 5101 Wisconsin Ave NW Ste 100
Washington, DC 20016-4136 - Phone
- (202) 320-8665
- NPI assigned
- Mar 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-130 | HI | Primary |
Addresses
Primary practice location
5101 Wisconsin Ave NW Ste 100
Washington, DC 20016-4136
Mailing address
5101 Wisconsin Ave NW Ste 100
Washington, DC 20016-4136
Phone (202) 320-8665
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND 612 | Other | WA | WASHINGTON STATE |
| ND-130 | Other | HI | HAWAII |
| NP0015 | Other | DC | ND LICENSE IN DC: NP0015 |
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 |
|---|---|---|---|
| ND-130 | HI | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1629210489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 WISCONSIN AVE NW STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164136",
"telephone_number": "202-320-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 WISCONSIN AVE NW STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164136",
"telephone_number": "202-320-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RALPH",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "HI",
"license": "ND-130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE",
"identifier": "ND 612",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII",
"identifier": "ND-130",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND LICENSE IN DC: NP0015",
"identifier": "NP0015",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.