Tanieka Ta'Sha Wilson

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

9367 Two Notch Rd Ste 106
Columbia, SC 29223-6442

Phone

(205) 526-6060

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• The Wilson Affect

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1902619315
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1679275168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 TURTLE STONE RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169267",
            "telephone_number": "205-526-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9367 TWO NOTCH RD STE 106",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236442",
            "telephone_number": "205-526-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TANIEKA",
        "middle_name": "TA'SHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "13127",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "5461",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Pamela Wilson, LPC, NCC, MAC
• Shalonda Rachelle Wilson
• Shane Michael Wilson
• Shanika Lavi Wilson, DSW, LCAS, LCSW
• Shyeasha Tanika Wilson, APRN-BC, PMHNP-BC
• Tanya Tanika Wilson, M.A., CCC-SLP
• Teresa Wilson
• Thomsd Lamar Wilson
• Twila Wilson
• Tyniah Wilson, RBT

• Massage Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.