Teresa Dawn Wilson, RN,RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R49396 Issued in AR

Practice address

9500 Kanis Rd
Suite 501
Little Rock, AR 72205-6324

Phone

(501) 227-9080

NPI assigned

May 17, 2007

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

Other names 1

• Teresa Wilson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780891671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 SHELBY DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720158874",
            "telephone_number": "501-951-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD",
            "address_2": "SUITE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-227-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TERESA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "RN,RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AR",
            "license": "R49396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WILSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Parris Wilson
• Raquita Wilson
• Rhonda Wilson
• Shane Wilson
• Sharon W Wilson
• Tony Wayne Wilson
• Tracy M Wilson, OT
• Treasure Wilson
• Wendy Sands Wilson, LCSW
• Ashley T Winch, M.S.

• Registered Nurse First Assistant in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Nurse First Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.