Sandra Wilson

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

5926 NW Batchelor Ter
Port Saint Lucie, FL 34986-3654

Phone

(305) 930-2748

NPI assigned

Aug 17, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1992610562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 NW BATCHELOR TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863654",
            "telephone_number": "305-930-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 NW BATCHELOR TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863654",
            "telephone_number": "305-930-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Nicole Willingham, APRN
• Tara Layne Willoughby, DDS
• Heidi Rachelle Wills, APRN, FNP-C
• Susanne Wilm, BSW
• Carol Wilson
• Tiffany Wilson, MSW
• Windsong Wellness Center for Recovery, LLC
• Windsong Wellness, LLC
• Maurice Winnick, DO
• Javon A. Winsett, DDS

• All providers in Port Saint Lucie, FL
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.