Ejd Wilson LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EJD WILSON LLC

Practice address

6311 Eastover Dr
New Orleans, LA 70128-3620

Phone

(504) 975-4853

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Ella D Wilson, NPNPI 1548284870

Title

Owner

Phone

(504) 975-4853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ella D. Wilson, F.N.P.

  • Family Nurse Practitioner
  • Slidell, LA
  • NPI 1548284870
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1841919552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 EASTOVER DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283620",
            "telephone_number": "504-975-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 EASTOVER DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283620",
            "telephone_number": "504-975-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJD WILSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-975-4853",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Leah Eisenberg, MD
• David Victor Eisenstadt, MD
• Miriam Elana Eisenstat, LCSW
• Hazem Eissa, MD
• Clement C Eiswirth Jr., MD
• Mayrie Ejiaga
• Romeo Ejiaga
• Uduak-Obong Iniabasi Ekanem
• Ekems Healthcare, Inc
• Ekhaya Youth

• Family Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.