MRS. KRISTEN WILSON ELLSWORTH (NPI# 1669890927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669890927 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN WILSON ELLSWORTH |
| Other Name | KRISTEN A WILSON |
| Credential | FNP |
| Practice Address |
151 Adams Ln Suite 13 Mount Juliet TN 37122-3598 |
| Practice Telephone | 6152884087 |
| Mailing Telephone | 6152884087 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2017-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18503 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q011560 | 05 |
| Street Address |
151 ADAMS LN SUITE 13 |
| City | MOUNT JULIET |
| State | TN |
| Zip Code | 37122-3598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114961596 | Ashok K Mehta | Internal Medicine | 151 Adams Ln, Suite 13, Mount Juliet, TN 37122-3598 | 2006-06-15 |
| 1235505017 | Katherine Wood | Physical Therapist | 151 Adams Ln, Ste 11, Mount Juliet, TN 37122-3598 | 2015-08-17 |
| 1841674124 | Erik S Rice | Physical Therapist | 151 Adams Ln, Ste.11, Mount Juliet, TN 37122-3598 | 2015-07-16 |
| 1841578614 | Sarah Jo Bouton | Physical Therapist | 151 Adams Ln, Suite 11, Mount Juliet, TN 37122-3598 | 2011-07-28 |
| 1144498908 | Sara Anne Johnson | Physical Therapist | 151 Adams Ln, Suite 11, Mount Juliet, TN 37122-3598 | 2008-02-14 |
| 1679623565 | Ashok K. Mehta, Md, PC | Internal Medicine | 151 Adams Ln, Suite 13, Mount Juliet, TN 37122-3598 | 2007-01-11 |
| 1194890004 | Elizabeth B Higdon | Nurse Practitioner | 151 Adams Ln, Suite 13, Mount Juliet, TN 37122-3598 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679108187 | Alanta Kristine Cross | Nurse Practitioner | 1677 W Wilson Blvd, Mount Juliet, TN 37122-9219 | 2020-03-04 |
| 1134622764 | Alexander Sinclair Farley | Nurse Practitioner | 629 Sire Ave, Mount Juliet, TN 37122-4640 | 2018-03-09 |
| 1215435417 | Vanna Hughes Padilla | Nurse Practitioner | 2542 N Mount Juliet Rd, Mount Juliet, TN 37122-3007 | 2018-01-23 |
| 1518343128 | Carol Roth | Nurse Practitioner | 3706 Graceland Ct, Mount Juliet, TN 37122-7539 | 2015-08-05 |
| 1174957526 | Trevor Ericson Smith | Nurse Practitioner | 218 Nonaville Rd, Mount Juliet, TN 37122-5097 | 2013-08-21 |
| 1558708727 | Midtown Health, Pllc | Nurse Practitioner | 1097 Weston Dr Ste 3, Mount Juliet, TN 37122-3493 | 2013-05-29 |
| 1467739623 | Marjory K Johns | Nurse Practitioner | 2006 Julie Dr, Mount Juliet, TN 37122-3224 | 2011-11-15 |
| 1215236039 | Weight Loss Solutions and More Pllc | Nurse Practitioner | 878 N Mount Juliet Rd, Mount Juliet, TN 37122-3391 | 2011-03-18 |
| 1376598011 | Andrea D Weddle | Nurse Practitioner | 1097 Weston Drive, Suite B, Mount Juliet, TN 37122 | 2006-05-23 |
| 1720067937 | Chadwick R James | Nurse Practitioner | 5002 Crossing Circle, Mount Juliet, TN 37122-3078 | 2006-01-16 |
| Find all providers in MOUNT JULIET | ||||
| City | MOUNT JULIET |
| Zip Code | 37122 |
Please comment or provide details below to improve the information on MRS. KRISTEN WILSON ELLSWORTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.