Wanda Yvette Wilson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

317 Office Square LN Ste 201B
Virginia Beach, VA 23462-3663

Phone

(757) 502-8980

Fax

(757) 502-8989

NPI assigned

Feb 23, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anointed & Blessed Home Health Care Services LLC

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1144703398
  NPD (past) Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1659872745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE 201B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623663",
            "telephone_number": "757-502-8980",
            "fax_number": "757-502-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE 201B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623663",
            "telephone_number": "757-502-8980",
            "fax_number": "757-502-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Office Square Ln Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623663",
            "country_code": "US",
            "telephone_number": "757-502-8980",
            "fax_number": "757-502-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WANDA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823988446",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis A. Wilson, MS
• Shacana Tori Wilson
• Susan K Wilson, LPC
• Tracy R Wilson, NP
• Victoria Wilson
• Zyon Wilson
• Bridget Laura Winay
• Wind Over Water, PLLC (Wind Over Water)
• Timeshiana Windley
• Windsor Hospice Care LLC (Fni Healthcare Inc)

• Home Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.