Lou Ann Eason Wiley, ADN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

77557 Issued in NC

Practice address

PO Box 188
Farmville, NC 27828-0188

Phone

(252) 787-5990

Fax

(252) 787-5991

NPI assigned

Feb 6, 2025

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

Practice roles

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.

• D and G Adventures, Inc

  • Community/Retail Pharmacy
  • Farmville, NC
  • NPI 1518503069
  NPD
• D and G Adventures, Inc

  • Long Term Care Pharmacy
  • Farmville, NC
  • NPI 1730993916
  NPD

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1992519151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278280188",
            "telephone_number": "252-787-5990",
            "fax_number": "252-787-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278280188",
            "telephone_number": "252-787-5990",
            "fax_number": "252-787-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LOU ANN",
        "middle_name": "EASON",
        "credential": "ADN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "77557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Ventures, Inc. Dba Chiro1Source
• Cecil Murray Walker III, D.C.
• Bert Barrow Warren Jr., D.D.S.
• Bert Barrow Warren Sr., D.D.S.
• Tierra Sirrel Whitaker

• Registered Nurse in Farmville, NC
• Providers in Farmville, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.