Vita J Wilson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R671908 Issued in MS

Practice address

250 Beauvoir Rd Ste 5
Biloxi, MS 39531-4026

Phone

(228) 388-2599

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vita J Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912087669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 TALLY HO CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395074229",
            "telephone_number": "228-896-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEAUVOIR RD STE 5",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314026",
            "telephone_number": "228-388-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VITA",
        "middle_name": "J",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R671908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VITA",
            "last_name": "WILSON",
            "middle_name": "J",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Williamson, DMD
• Carol Wilson, LPN
• Judy Wilson, MS, RD, LD
• Nicholas Wilson, RD
• Stephanie Lauren Wilson, FNP
• Malinda Leigh Wimbs
• Emmalee Winston
• Brenda M Wise, RPH
• Francine Mary Wolpe, MD
• Catherine Leigh Wood, DPT

• Family Nurse Practitioner in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.