Active NPI
Andrea Margaret Wilson
- Registered Nurse
- Baldwinsville, NY
National Provider Identifier
1659847150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 751264-1
- Practice address
- 8221 Royal Scarlet Dr
Baldwinsville, NY 13027-8942 - Phone
- (315) 313-3458
- NPI assigned
- Oct 23, 2018
- 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 | 751264-1 | NY | Primary |
Addresses
Primary practice location
8221 Royal Scarlet Dr
Baldwinsville, NY 13027-8942
Mailing address
8221 Royal Scarlet Dr
Baldwinsville, NY 13027-8942
Phone (315) 313-3458
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 |
|---|---|---|---|
| 751264-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1659847150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 ROYAL SCARLET DR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130278942",
"telephone_number": "315-313-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 ROYAL SCARLET DR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130278942",
"telephone_number": "315-313-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ANDREA",
"middle_name": "MARGARET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "751264-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.