Active NPI
Elisabeth Greber Wilson, NP
- Family Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1922305325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06215
- Practice address
- 845 Olive St Ste B
Shreveport, LA 71104-2143 - Phone
- (318) 220-7047
- Fax
- (318) 222-2159
- NPI assigned
- Feb 21, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP06215 | LA | Primary |
Addresses
Primary practice location
845 Olive St Ste B
Shreveport, LA 71104-2143
Mailing address
522 Northpark Dr
Bossier City, LA 71111-2210
Phone (318) 549-9665
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb Internal Medicine, LLC | 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.
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1629019047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1922305325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 NORTHPARK DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112210",
"telephone_number": "318-549-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 OLIVE ST STE B",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042143",
"telephone_number": "318-220-7047",
"fax_number": "318-222-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ELISABETH",
"middle_name": "GREBER",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP06215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.