Cortella Wilkes, DNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

104849 Issued in SC

Practice address

371 E Henry St
Spartanburg, SC 29302-2607

Phone

(864) 308-8712

NPI assigned

Oct 26, 2017

Last updated

Jun 15, 2022By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Advantage LLC

  • In Home Supportive Care Agency
  • Spartanburg, SC
  • NPI 1568974863
  NPD Authorized official
• Legacy Transport Services

  • Non-emergency Medical Transport (VAN)
  • Spartanburg, SC
  • NPI 1366085516
  NPD
• Legacy Transport Services

  • Land Ambulance
  • Spartanburg, SC
  • NPI 1881530004
  NPD

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1750893046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MEADOWSEED CT",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E HENRY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022607",
            "telephone_number": "864-308-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "CORTELLA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "104849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ashley Wilcox, PMHNP
• Jennifer Poole Wilcox, O.D.
• Margaret Ellen Wilcox, ADC-P
• Audrey Anne Wildeman, PA-C
• Douglas Larry Wiley, D.O.
• Stefan James Wilkes, DMD
• Wilkins Opticians of Spartanburg,Inc
• Ava L Wilkins
• Diane Leigh Wilkins, LISW-CP
• Jeffrey Scott Wilkins, ABOM

• Registered Nurse in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.