Michelle M Wilson

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN156196 Issued in LA

Practice address

19 Lakes St
Nespelem, WA 99155

Phone

(800) 416-7459

NPI assigned

Apr 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1831752005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SHERLING AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212200",
            "telephone_number": "504-312-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAKES ST",
            "city": "NESPELEM",
            "state": "WA",
            "postal_code": "99155",
            "telephone_number": "800-416-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "LA",
            "license": "RN156196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.wilson@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "19 Lakes St., Nespelem, WA 99155",
            "address_1": "19 Lakes St",
            "city": "Nespelem",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randolph D Tonasket, SUDPT
• Johnna Diane Tunnyhill, NP-C
• Teresa Vaubel, RN
• Bernadine Villegas, CDP
• Colleen Waters, CAAR
• Kathy A Winzer, ARNP
• Jerry Zee, PHARMD

• Medical-Surgical Registered Nurse in Nespelem, WA
• Providers in Nespelem, WA by specialty
• Medical-Surgical Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.