Active NPI
Marion Wilson
- Registered Nurse
- Largo, FL
National Provider Identifier
1659709442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 9347196
- Practice address
- 201 14TH St SW
Largo, FL 33770-3133 - Phone
- (727) 588-5200
- NPI assigned
- Oct 15, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 9347196 | FL | Primary |
Addresses
Primary practice location
201 14TH St SW
Largo, FL 33770-3133
Mailing address
317 176TH Avenue Cir
Redington Shores, FL 33708-1224
Phone (609) 846-5520
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 |
|---|---|---|---|
| RN 9347196 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381795200000",
"number": "1659709442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 176TH AVENUE CIR",
"city": "REDINGTON SHORES",
"state": "FL",
"postal_code": "337081224",
"telephone_number": "609-846-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 14TH ST SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703133",
"telephone_number": "727-588-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARION",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN 9347196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.