Donna Jean Wilson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

07679R Issued in LA

Practice address

4301 N University Ave
C/O Carencro School Based Health Center
Carencro, LA 70520-3905

Phone

(337) 521-7499

Fax

(337) 521-7498

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1689697542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N UNIVERSITY AVE",
            "address_2": "C/O CARENCRO SCHOOL BASED HEALTH CENTER",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203905",
            "telephone_number": "337-521-7499",
            "fax_number": "337-521-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N UNIVERSITY AVE",
            "address_2": "C/O CARENCRO SCHOOL BASED HEALTH CENTER",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203905",
            "telephone_number": "337-521-7499",
            "fax_number": "337-521-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DONNA JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "07679R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1378542",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Louise Wegher, LAC
• Wheels on Time Transport LLC
• Keirra Johnson White, MSN, APRN, PMHNP-BC
• Jaime Wilkins
• Tristisha Williams
• Kendriel Wilson
• Jacob Arthur Zeairs
• Alexis V Zurheide, PT, DPT

• Pediatrics Physician in Carencro, LA
• Providers in Carencro, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.