Heather Elissa Wilson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9202051 Issued in FL

Practice address

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7995

Phone

(561) 737-7733

NPI assigned

Jun 19, 2017

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cameron Spine LLC

  • Interventional Pain Medicine Physician
  • Loxahatchee, FL
  • NPI 1396054938
  NPD

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1699205997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8878 WOODGROVE RIDGE CT",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357995",
            "telephone_number": "561-737-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8878 Woodgrove Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "33473",
            "country_code": "US",
            "telephone_number": "561-386-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEATHER",
        "middle_name": "ELISSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9202051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenise Williams, IMH23015
• Daniel S Williamson, M.D., PH.D.
• Bryan Mark Wilson, PHARM. D.
• Carmeta Wilson
• Hayley Wilson
• Jeffrey Wilson, M.D
• Morgan Wilson, PA-C
• Natasha Wilson, M.A SLP
• Jennifer Noel Wink, ARNP
• Jolene Winn, DPT

• Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.