Destiny Wilkerson

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8432 Magnolia Ave # 4241
Riverside, CA 92504-3206

Phone

(877) 228-3615

NPI assigned

Apr 8, 2025

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1740074293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8432 MAGNOLIA AVE # 4241",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8432 MAGNOLIA AVE # 4241",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043206",
            "telephone_number": "877-228-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "DESTINY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Wilensky, LCSW
• Brock S Wiley, DO
• Cassondra Wiley
• Ryan Alan Wiley
• Jessica Elizabeth Wilinski, LCSW
• Da'Meon Sherell Wilkes
• Deshea Desiree Wilkes, ASW
• Sarah Elaine Wilkey
• Alex Christopher Wilkie, DNAP, CRNA
• Kassidy Wilkin

• Athletic Trainer in Riverside, CA
• Providers in Riverside, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.