Amanda R Wilson

Primary specialty

HomemakerTaxonomy code 376J00000X

License

19000304177 Issued in FL

Practice address

312 Flint St
Haines City, FL 33844-8219

Phone

(305) 450-8605

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1932748217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH BLVD E # 2404",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377547",
            "telephone_number": "305-450-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 FLINT ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448219",
            "telephone_number": "305-450-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMANDA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "19000304177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AristoKatzhomeheatlh@gmail.com",
            "affiliation": "N",
            "address_1": "312 Flint St",
            "city": "Haines City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338448219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaine Carol Weinstein, RRT
• Randall Wade Wilds, DC
• Theanna Ismarella Willard, PHARMD
• Taniya Williams
• Adero Binta Wilson
• Brooke Wilson
• Kayla K Wilson, LPTA
• Wintersetinc (Beltone Hearing Aid Center)
• Tina Charisse Worth, RN, BSN, IBCLC
• Victoria Wright

• Homemaker in Haines City, FL
• Providers in Haines City, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.