Michelle A Wilson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324228 Issued in NY

Practice address

1289 Warwick St
Uniondale, NY 11553-1324

Phone

(631) 645-2097

NPI assigned

Nov 23, 2015

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

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1689048043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 WARWICK ST",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531324",
            "telephone_number": "631-645-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 WARWICK ST",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531324",
            "telephone_number": "631-645-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Weber, MD
• Jodi Weitzman
• Rosamund Veronica White-Martin
• Deborah White
• Shaya Williams
• Rohan Wray
• Yolaine St.Louis MD PC
• Valerie Yurick, OSC, MSED
• Louise A Zephyr, FNP
• Eva Zhang

• Licensed Practical Nurse in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.