Lareese Wilson Dabielle Wilson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

330946 Issued in NY

Practice address

244 Hempstead Ave
Buffalo, NY 14215-3404

Phone

(716) 831-7877

Fax

(716) 831-8666

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

No

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1821768227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 HEMPSTEAD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153404",
            "telephone_number": "716-831-7877",
            "fax_number": "716-831-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 HEMPSTEAD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153404",
            "telephone_number": "716-831-7877",
            "fax_number": "716-831-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAREESE WILSON",
        "middle_name": "DABIELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany E Wilson, LPN
• Courtney Wilson
• Demaris Wilson, NP
• Jalen Wilson
• Kimberley Alexandria Wilson, NP
• Shaquita Marie Wilson, MSW
• Susan M. Wilson
• Victoria Wilson
• Lynette Wiltshire-Boston I, CNM
• Ashley Wimble, LMSW

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.