Brandi Emily Wilson

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

709156 Issued in NY

Practice address

30 7TH Ave
New York, NY 10011-6629

Phone

(718) 810-7430

NPI assigned

Jun 4, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1639063886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14814 BROOKVILLE BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223273",
            "telephone_number": "718-810-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116629",
            "telephone_number": "718-810-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRANDI",
        "middle_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "709156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Wilson, M.D.
• Anika Tresa Wilson, LMSW
• Anna Wilson
• Arielle Wilson
• Bernadette Hyacinth Wilson
• Brandon Wilson
• Brenda Wilson
• Brian Wilson, R.N.
• Caroline Carleton Wilson, LCSW
• Carolyn Wilson

• Administrator Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Administrator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.