Anestra Latsha Wilson, L.P.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN214132 Issued in AZ

Practice address

2544 W Sunland Ave
Phoenix, AZ 85041-4503

Phone

(216) 288-9229

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anestra Latsha Hall Former name

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 and National Provider Directory roles.

• Graceful Wellness & Essential Nursing LLC

  • Registered Nurse
  • Phoenix, AZ
  • NPI 1497544704
  NPD Authorized official

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1912223579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 W SUNLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414503",
            "telephone_number": "216-288-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 W SUNLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414503",
            "telephone_number": "216-288-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANESTRA",
        "middle_name": "LATSHA",
        "name_prefix": "Mrs.",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "398815",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN214132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANESTRA",
            "last_name": "HALL",
            "middle_name": "LATSHA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Rae Wilson, RBT
• Allysa Wilson
• Almonyonna Kenyette Wilson, MASSAGE THERAPIST
• Amanda Wilson
• Andrew Wilson, MD
• Anna Elizabeth Wilson, MED, BCBA, LBA
• Anthony Justin Wilson
• Arra-Mela V Wilson, COTA,
• Barbara Ann Wilson
• Casey Wilson

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.