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ALEXIS MARIE WILSON
NPI 1376330480
Student in an Organized Health Care Education/Training Program in Huntington, NY

Active since April 22, 2025
790 PARK AVE, HUNTINGTON, NY 11743(843) 450-5591 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexis Marie Wilson NPPES

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

ALEXIS MARIE WILSON (NPI 1376330480) is an individual student in an organized health care education/training program in Huntington, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1376330480
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS MARIE WILSON
Location Address790 PARK AVEHuntington, NY 11743-4516
Mailing Address11 Sparrow DrCoram, NY 11727-2707 · (843) 450-5591
Phone(843) 450-5591
Sole ProprietorYes
Enumeration DateApril 22, 2025
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1376330480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
790 PARK AVE, Huntington, NY 11743
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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.

ALEXANDRA GUARDINO
Student in an Organized Health Care Education/Training Program
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
DR. JENNIFER MCINTOSH PHD, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-4001
ALYSSA LYNN SMYTH
Case Manager/Care Coordinator
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
ANNE LORETZ
Student in an Organized Health Care Education/Training Program
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
ELIZABETH BARRY NP
Nurse Practitioner (Psychiatric/Mental Health)
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
MS. MARILYN DUFFY GRANDE LMSW
Social Worker
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-3700
MRS. ALICIA RENA WILLIAMS-HICKSON LMSW
Social Worker (Clinical)
790 PARK AVE, FAMILY SERVICE LEAGUE
HUNTINGTON, NY 11743
Suffolk County (631) 369-0104
LISA SUTTON LCAT
Art Therapist
790 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 427-4001

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 Alexis Wilson's NPI number?

The NPI number for Alexis Wilson is 1376330480. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Alexis Wilson located?

Alexis Wilson practices at 790 Park Ave, Huntington, NY 11743. The listed phone number is (843) 450-5591.

What is Alexis Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alexis Wilson was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.