FREDDIE WILSON
NPI 1730857558
Student in an Organized Health Care Education/Training Program in Owasso, OK
About Freddie Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDDIE WILSON (NPI 1730857558) is an individual student in an organized health care education/training program in Owasso, Oklahoma and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Freddie Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Freddie Wilson's NPI number?
The NPI number for Freddie Wilson is 1730857558. It was assigned to this individual provider in the NPPES registry on September 6, 2021.
Where is Freddie Wilson located?
Freddie Wilson practices at 18495 E Crooked Oak Dr, Owasso, OK 74055. The listed phone number is (918) 633-7082.
What is Freddie Wilson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Freddie Wilson enrolled in Medicare?
Yes. Freddie Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Freddie Wilson was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Freddie Wilson · NPI 1730857558
Student in an Organized Health Care Education/Training Program provider in Owasso, Oklahoma. Individual provider, active in the CMS NPPES registry since September 6, 2021.
## Identity
- **NPI:** 1730857558 (Entity type: Individual)
- **Enumerated:** September 6, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 18495 E CROOKED OAK DR, Owasso, OK 74055-5054
- **Phone:** (918) 633-7082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730857558) · Data from the CMS NPPES public registry.