Active NPI
Dannylu J Wilson, NP
- Family Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5510
- Practice address
- 435 Airport Blvd
Pensacola, FL 32503-7847 - Phone
- (850) 435-7448
- Fax
- (850) 435-3156
- NPI assigned
- Nov 9, 2006
- 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 | 5510 | TN | Primary |
Addresses
Primary practice location
435 Airport Blvd
Pensacola, FL 32503-7847
Mailing address
435 Airport Blvd
Pensacola, FL 32503-7847
Phone (850) 435-7448
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1507471 | Medicaid | TN | |
| 3732438 | Medicaid | TN | |
| 4135398 | Other | TN | BCBST |
| 4193459 | Other | BCBS | |
| 3346726 | Medicaid | TN | |
| 3710089 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5510 | TN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Hickman Community Health Careservices | Current | Accepting new patients | |
| Maury Regional Hospital | Current | Accepting new patients | |
| Sleep Service S PLLC | Past | Accepting new patients | |
| Maury Regional Ambulatory Care Center Inc. | Family | Past | Accepting new patients |
Locations
150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091
854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779
854 W James M Campbell Blvd
Ste 303B
Columbia, TN 38401
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901
300 20th Ave N
Fl 9
Nashville, TN 37203
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Centerville, TN
- NPI 1245275254
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Rural Health Clinic/Center
- Lyles, TN
- NPI 1225049570
-
- Federally Qualified Health Center (FQHC)
- Hohenwald, TN
- NPI 1790108934
-
- Sleep Medicine (Internal Medicine) Physician
- Pensacola, FL
- NPI 1245155050
-
- Family Medicine Physician
- Columbia, TN
- NPI 1336190214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1972673648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 AIRPORT BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325037847",
"telephone_number": "850-435-7448",
"fax_number": "850-435-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 AIRPORT BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325037847",
"telephone_number": "850-435-7448",
"fax_number": "850-435-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DANNYLU",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "5510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507471",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3732438",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4135398",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4193459",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3346726",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3710089",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.