AMANDA L. WILSON MD – NPI #1821066085
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
AMANDA WILSON is a physician located in GIG HARBOR, WA. NPPES has assigned the NPI number 1821066085 to AMANDA WILSON on March 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine
The NPI profile was previously updated about 4 years ago on May 03, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA WILSON below.
NPI Profile for
AMANDA L. WILSON
(more than 20 years ago)
GIG HARBOR, WA 98335-7632 Phone: (413) 221-6113 Fax:
1 Other location(s):
West Springfield, MA 01089
Phone: (417) 788-0100
Fax: (413) 736-1813
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for AMANDA WILSON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CT | 003126944 | |
| MEDICAID | MA | 0126748 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RA0401X - Internal Medicine / Addiction Medicine (Primary) |
MI | 4301505786 |
| 207R00000X - Internal Medicine |
MA | 205246 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.