Active NPI
Patricia Alexander Wilson, MSN ARNP
- Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1851347744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 157627Z
- Practice address
- 1295 W Fairfield Dr
Attn: Susie Pitman
Pensacola, FL 32501-1107 - Phone
- (850) 595-6417
- Fax
- (850) 595-6693
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 157627Z | FL | Primary |
Addresses
Primary practice location
1295 W Fairfield Dr
Attn: Susie Pitman
Pensacola, FL 32501-1107
Mailing address
1295 W Fairfield Dr
Attn Susie Pitman
Pensacola, FL 32501-1107
Phone (850) 595-6417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3061434-00 | Medicaid | FL |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157627Z | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1851347744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 W FAIRFIELD DR",
"address_2": "ATTN SUSIE PITMAN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011107",
"telephone_number": "850-595-6417",
"fax_number": "850-595-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 W FAIRFIELD DR",
"address_2": "ATTN: SUSIE PITMAN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011107",
"telephone_number": "850-595-6417",
"fax_number": "850-595-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PATRICIA",
"middle_name": "ALEXANDER",
"name_prefix": "Ms.",
"credential": "MSN ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "157627Z",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3061434-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.