The Duff Wilder Group, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THE DUFF WILDER GROUP, LLC

Practice address

208 10TH St NE
Gordo, AL 35466-2754

Phone

(205) 399-7795

NPI assigned

Feb 17, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sondra Duff Wilder, FNP-BC; PMHNP-BCNPI 1497722995

Title

Nurse Practitioner

Phone

(205) 399-7795

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sondra Wilder, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1497722995
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1932854908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 804",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354660804",
            "telephone_number": "205-399-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 10TH ST NE",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354662754",
            "telephone_number": "205-399-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DUFF WILDER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "DUFF",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-399-7795",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC; PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pickens County Primary Care, PC
• Ellynn Joann Rolett, LAT, ATC
• Patricia Diane Stephens, CRNP
• Earl Ray Stewart Jr., MD
• NA'Toyia Shanay Stewart
• Whatley Health Services, Inc (Pickens County Family Practice Center)
• Courtney Brooke Williamson, ALC, NCC

• Psychiatric/Mental Health Nurse Practitioner in Gordo, AL
• Providers in Gordo, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.