MATEAKKA SHARRELL WILSON
NPI 1639003627
Licensed Practical Nurse in Rochester, NY

Q: What is Mateakka Wilson's NPI number?

The NPI number for Mateakka Wilson is 1639003627. It was assigned to this individual provider in the NPPES registry on June 12, 2026. The provider is also known as Teakka Wilson.

Q: What is Mateakka Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mateakka Wilson was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 12, 2026

67 LONG WOOD DR, ROCHESTER, NY 14612(585) 520-2575 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mateakka Sharrell Wilson NPPES

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

MATEAKKA SHARRELL WILSON (NPI 1639003627) is an individual licensed practical nurse in Rochester, New York, licensed in New York (354296-01) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639003627

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMATEAKKA SHARRELL WILSON

Location Address67 LONG WOOD DRRochester, NY 14612-2711

Mailing Address67 Long Wood DrRochester, NY 14612-2711 · (585) 520-2575

Phone(585) 520-2575

Sole ProprietorYes

Enumeration DateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1639003627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 354296-01

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

67 LONG WOOD DR, Rochester, NY 14612

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Other Names 1

Other Name (5)Teakka Wilson

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 Mateakka Wilson's NPI number?

The NPI number for Mateakka Wilson is 1639003627. It was assigned to this individual provider in the NPPES registry on June 12, 2026. The provider is also known as Teakka Wilson.

Where is Mateakka Wilson located?

Mateakka Wilson practices at 67 Long Wood Dr, Rochester, NY 14612. The listed phone number is (585) 520-2575.

What is Mateakka Wilson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mateakka Wilson was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.