Sheryl Arlynn Wilson, ARNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

93000319 Issued in FL

Practice address

1460 Baytree Dr NE
Palm Bay, FL 32905-3900

Phone

(321) 914-0915

NPI assigned

Sep 11, 2011

Sex

Female

Sole proprietor

No

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

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.

• Indian River Volunteers in Medicine

  • Primary Care Clinic/Center
  • Viera, FL
  • NPI 1467712695
  NPD (past)

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1629350160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 S BUDD CT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184209",
            "telephone_number": "215-514-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BAYTREE DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053900",
            "telephone_number": "321-914-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHERYL",
        "middle_name": "ARLYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "93000319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andria Edries Wilson Thompson
• Jeffrey Lynn Wilson, D.O.
• John Leonard Wilson Jr., PTA
• Matthew Wilson
• Shawn Wilson, PTA
• Tanesha Wilson, PMHNP
• Cakiya Wimberly
• Lisette Vanessa Winans, APRN
• Kimberly Lane Winfree
• Winmill Medical Supply and Equipment Inc

• Obstetrics & Gynecology Nurse Practitioner in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; 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.