Individual provider Active NPI

Alice M Wilson, RNFA

  • Registered Nurse First Assistant
  • Palm Harbor, FL
National Provider Identifier
1881829042
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN3391562 Issued in FL
Practice address
3436 Primrose Way
Palm Harbor, FL 34683-2229
Phone
(727) 641-7847
Fax
(727) 786-4724
NPI assigned
May 18, 2009
Last updated
May 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN3391562 FL
Registered Nurse First Assistant 163WR0006X RN3391562 FL Primary

Addresses

Primary practice location

3436 Primrose Way
Palm Harbor, FL 34683-2229

Mailing address

3436 Primrose Way
Palm Harbor, FL 34683-2229
Phone (727) 641-7847

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

State licenses

LicenseStateTypeSpecialty
RN3391562FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amw Assisting Services Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1881829042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 PRIMROSE WAY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832229",
            "telephone_number": "727-641-7847",
            "fax_number": "727-786-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 PRIMROSE WAY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832229",
            "telephone_number": "727-641-7847",
            "fax_number": "727-786-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALICE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3391562",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN3391562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.