Evelyn Rebecca Becky Wilson, C.O.T.A.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

710 Sellers Rd
Moselle, MS 39459-9419

Phone

(601) 408-3443

NPI assigned

Jun 17, 2014

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1821402967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SELLERS RD",
            "city": "MOSELLE",
            "state": "MS",
            "postal_code": "394599419",
            "telephone_number": "601-408-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SELLERS RD",
            "city": "MOSELLE",
            "state": "MS",
            "postal_code": "394599419",
            "telephone_number": "601-408-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EVELYN REBECCA",
        "middle_name": "BECKY",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie M Smith, AU.D.
• Jennifer R Smith, FNP
• Stanley George Smith, PH.D.
• Molly J Swinney, LPC
• Roy White, PH.D.

• All providers in Moselle, MS
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.