Shauna R Wilson

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

123930 Issued in TN

Practice address

250 Arrowood Dr
Clarksville, TN 37042-5186

Phone

(931) 245-4700

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1992486377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3498 EASTRIDGE RD",
            "city": "WOODLAWN",
            "state": "TN",
            "postal_code": "371918115",
            "telephone_number": "931-237-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ARROWOOD DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370425186",
            "telephone_number": "931-245-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHAUNA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "123930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Wilson, PT, DPT
• Lacy W Wilson, R.D.H.
• Megan Wilson
• Patti L Wilson, PH.D.
• Selena Michelle Wilson
• Aline Fawzi Wimberly, OTR/L
• Jenna Windham
• Robert Leland Windrow
• Lacie Windsor
• Charity Elizabeth Winters, DPT

• Nurse's Aide in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Nurse's Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.