Active NPI
Kerri Louise Wilks, MD
- Neurology Physician
- Hallandale Beach, FL
National Provider Identifier
1881868206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME86933
- Practice address
- 911 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4427 - Phone
- (954) 455-5757
- NPI assigned
- Apr 16, 2008
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME86933 | FL | Primary |
Addresses
Primary practice location
911 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4427
Mailing address
2624 NE 22ND Ave
Lighthouse Point, FL 33064-8337
Phone (954) 455-5757
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86933 | FL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1881868206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 NE 22ND AVE",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330648337",
"telephone_number": "954-455-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E HALLANDALE BEACH BLVD",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094427",
"telephone_number": "954-455-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "KERRI",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME86933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.