ANTOINETTE R WILSON-EDWARDS
NPI 1104562735
Rehabilitation Practitioner in Fairfield, CA

Active since May 06, 2022
480 CHADBOURNE RD, FAIRFIELD, CA 94534(707) 429-4440 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2025, May 9, 2023, May 6, 2022 (3 updates tracked since 2022).

About Antoinette R Wilson-edwards NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINETTE R WILSON-EDWARDS (NPI 1104562735) is an individual rehabilitation practitioner in Fairfield, California and active in the NPI registry since May 2022. She maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1104562735
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameANTOINETTE R WILSON-EDWARDS
Location Address480 CHADBOURNE RDFairfield, CA 94534-9639
Mailing Address480 Chadbourne RdFairfield, CA 94534-9639 · (510) 691-6063
Sole ProprietorYes
Enumeration DateMay 6, 2022
Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1104562735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
480 CHADBOURNE RD, Fairfield, CA 94534

Secondary Practice Location 1

Location 11234 Empire StFairfield, CA 94533-5711 · Phone (707) 432-8549

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Day Training/Habilitation Specialist
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Marriage & Family Therapist
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Social Worker
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Day Training/Habilitation Specialist
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Day Training/Habilitation Specialist
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Marriage & Family Therapist
480 CHADBOURNE RD
FAIRFIELD, CA 94534
Community Health Worker
480 CHADBOURNE RD
FAIRFIELD, CA 94534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoinette Wilson-edwards's NPI number?

The NPI number for Antoinette Wilson-edwards is 1104562735. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Antoinette Wilson-edwards located?

Antoinette Wilson-edwards practices at 480 Chadbourne Rd, Fairfield, CA 94534. The listed phone number is (707) 429-4440.

What is Antoinette Wilson-edwards's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Antoinette Wilson-edwards was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.