Active NPI
Tanya E Wilson, NP
- Family Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0000818
- Practice address
- 2600 Glasgow Avenue
Suite 100
Newark, DE 19702-4773 - Phone
- (302) 836-8350
- NPI assigned
- Feb 2, 2015
- Last updated
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0000818 | DE | Primary |
Addresses
Primary practice location
2600 Glasgow Avenue
Suite 100
Newark, DE 19702-4773
Mailing address
200 Hygeia Drive
Suite 2300
Newark, DE 19713-2049
Phone (302) 438-7745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000818 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Quality Partners | Current | Accepting new patients | |
| Christiana Care Quality Partners | Past | Accepting new patients |
Locations
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
2600 Glasgow Ave
Ste 100
Newark, DE 19702
Phone (302) 273-1317
100 S Main St
Ste 101
Smyrna, DE 19977
Phone (302) 623-7424
4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1164061867
-
dba Lotus Recovery Centers of Prices Corner
- Methadone Clinic
- Wilmington, DE
- NPI 1467045567
-
dba ChristianaCare GoHealth Urgent Care
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1720478563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DRIVE",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "302-438-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GLASGOW AVENUE",
"address_2": "SUITE 100",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024773",
"telephone_number": "302-836-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TANYA",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.