Eliza Jean Wilson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

7235 N 185TH Ave
Waddell, AZ 85355-9812

Phone

(623) 695-1973

NPI assigned

Jun 30, 2017

Last updated

Jun 30, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1649791443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 N 185TH AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 N 185TH AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559812",
            "telephone_number": "623-695-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna Walberg
• Robert Wayne, B.O.C.O
• Amber Marie Werner, IDMT
• Robert Carl Westerman, DNP-PMHNP
• John Raymond Williams
• Kristen Danielle Wilson
• Sergio Zevada Jr.
• Gabrielle Ziemann, PA-C

• Athletic Trainer in Waddell, AZ
• Providers in Waddell, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.