Active NPI
Lakeisha Alaina Wilson
- Driver
- Dayton, OH
National Provider Identifier
1902670714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 4609 Kammer Ave
Dayton, OH 45417-1135 - Phone
- (937) 793-9200
- NPI assigned
- Nov 13, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | OH | ||
| Personal Care Attendant | 3747P1801X | OH | ||
| Driver | 172A00000X | OH | Primary |
Addresses
Primary practice location
4609 Kammer Ave
Dayton, OH 45417-1135
Mailing address
4609 Kammer Ave
Dayton, OH 45417-1135
Phone (937) 793-9200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1902670714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 KAMMER AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454171135",
"telephone_number": "937-793-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 KAMMER AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454171135",
"telephone_number": "937-793-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAKEISHA",
"middle_name": "ALAINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.