Julie Ann Wilson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

293790 Issued in NY

Practice address

552 Mill Rd
Rochester, NY 14626-1041

Phone

(585) 694-8173

NPI assigned

Oct 7, 2008

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

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1649421744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 MILL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261041",
            "telephone_number": "585-694-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 MILL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261041",
            "telephone_number": "585-694-8173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146261041",
            "country_code": "US",
            "telephone_number": "585-694-8173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Rand St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146153320",
            "country_code": "US",
            "telephone_number": "585-458-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "293790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaslynn Renee Wilson
• Jasmine Denise Wilson, LCSW
• Jennifer L Wilson
• Jessica Connie Wilson, PHARMD
• Jessie Leigh Wilson, PA-C
• Katharine R Wilson, MSPT, CHT
• Kathleen A Wilson
• Keith Raymond Wilson, LMHC
• Kirsten Wilson, CASAC
• Le Keyah Wilson, MD

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

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