Individual provider Active NPI

Janet Somi Wilkerson

  • General Practice Registered Nurse
  • West Chester, OH
National Provider Identifier
1821346420
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
52085 Issued in OH
Practice address
9551 Deer Track Rd
West Chester, OH 45069-7048
Phone
(513) 485-1055
NPI assigned
Aug 29, 2012
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 148675 OH
General Practice Registered Nurse 163WG0000X 52085 OH Primary

Addresses

Primary practice location

9551 Deer Track Rd
West Chester, OH 45069-7048

Mailing address

9551 Deer Track Rd
West Chester, OH 45069-7048
Phone (513) 485-1055

Other identifiers 2

IdentifierTypeStateIssuer
N/AMedicaidOH
1821346420MedicaidOH

Other names 1

  • Ms. Janet Wilkerson Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52085OHMDGeneral Practice Registered Nurse
148675OHMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Care 1 Home Health CurrentSince May 28, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1821346420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 DEER TRACK RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697048",
            "telephone_number": "513-485-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 DEER TRACK RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697048",
            "telephone_number": "513-485-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JANET",
        "middle_name": "SOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "OH",
            "license": "148675",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "52085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821346420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "WILKERSON",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.