Angela Wilson

Primary specialty

SpecialistTaxonomy code 174400000X

License

614251 Issued in NY

Practice address

1725 W 12TH St
Brooklyn, NY 11223-1145

Phone

(646) 844-0409

Fax

(646) 838-4447

NPI assigned

Oct 27, 2025

Last updated

Oct 27, 2025By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lovely DC, Inc.

  dba Learned Kids

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1477184307
  NPD Authorized official
• Quality Touch, Inc.

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1487051793
  NPD (past) Authorized official
• Octihealth, Inc.

  • Home Health Agency
  • Mount Prospect, IL
  • NPI 1730764283
  Authorized official Same address or phone

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1871461277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ROCKWELL LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166218",
            "telephone_number": "347-707-3959",
            "fax_number": "877-599-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231145",
            "telephone_number": "646-844-0409",
            "fax_number": "646-838-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 W 11th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112046216",
            "country_code": "US",
            "telephone_number": "347-707-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "614251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Wilson, P.N.P.
• Alphia Wilson
• Althea Wilson
• Althea Neressa Wilson, PA-C
• Anderson Ricardo Wilson, P.A.
• Angelique Simone Wilson
• April Sharine Wilson
• Arona Wilson
• Atai Rudyard Wilson
• Augusta Maureen Wilson, RN

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.