Active NPI
Irene Bahmann Wilson, ARNP
- Emergency Medicine Physician
- Tallahassee, FL
National Provider Identifier
1811911043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ARNP1023752
- Practice address
- 1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054 - Phone
- (850) 431-0756
- Fax
- (850) 431-0779
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ARNP1023752 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054
Mailing address
1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054
Phone (850) 431-0756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1023752 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Properties of St Augustine Inc | Past | Accepting new patients | |
| Southern Medical Group, PA | Past | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Skilled Nursing Facility
- St Augustine, FL
- NPI 1700882370
-
- Cardiovascular Disease Physician
- Tallahassee, FL
- NPI 1417948159
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811911043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"address_2": "BIXLER EMERGENCY CENTER",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-0756",
"fax_number": "850-431-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"address_2": "BIXLER EMERGENCY CENTER",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-0756",
"fax_number": "850-431-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "IRENE",
"middle_name": "BAHMANN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ARNP1023752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.