Kacey Marie Wilson

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

111 Benjamin Dr
Dunbar, WV 25064-1234

Phone

(304) 546-0908

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1992390009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BENJAMIN DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641234",
            "telephone_number": "304-546-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BENJAMIN DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641234",
            "telephone_number": "304-546-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KACEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Andrew Wicklem, LPTA
• Jamie Wiley
• Kerry Ann Wilkinson, CERTIFIED HAIR LOSS
• Andre Brandon Williams
• Jasmine Shei Williams
• Allison Marie Wise, MSN-FNP
• Angel Withrow, PHARMD
• Mathew Withrow
• Vanessa Wolfe
• Womencare Inc

• All providers in Dunbar, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.