KATHERINE WILSON (NPI# 1730651233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730651233 |
| Entity Type | Individual |
| Full Name | KATHERINE WILSON |
| Credential | CRNP |
| Practice Address |
705 Bank St Ne Decatur AL 35601-1609 |
| Mailing Address |
2704 Bransford Trl Se Owens Cross Roads AL 35763-8456 |
| Practice Telephone | 2562744523 |
| Mailing Telephone | 2565299600 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-130871 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245798487 | Katherine Denise Wilson | Speech-Language Pathologist | 1901 Tarboro St Sw Ste 301, Wilson, NC 27893-3479 | 2019-03-06 |
| 1437519907 | Katherine Elizabeth Wilson | Physical Therapist | 5372 B Old Virginia St, Urbanna, VA 23175 | 2016-02-26 |
| 1942620059 | Katherine Morgan Wilson | Pediatrics | 3399 East Grand River Ave, Suite 200, Howell, MI 48843-7555 | 2014-04-16 |
| 1134440613 | Katherine L. Wilson | Psychologist | 5750 Sunrise Blvd Ste 130-f, Citrus Heights, CA 95610-7634 | 2010-06-18 |
| 1831334226 | Katherine Wilson | Behavioral Analyst | 1404 Beverly Dr, Richmond, VA 23229-4802 | 2008-12-13 |
| 1184884520 | Katherine Jones Wilson | Speech-Language Pathologist | 8338 Blades Trl, Denver, NC 28037-9154 | 2008-06-10 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1750502159 | Katherine Dunn Wilson | Dentist | 74 State Rd Ste 102, Kittery, ME 03904-1562 | 2007-05-01 |
| 1811026099 | Katherine Wilson | Acupuncturist | 68 Paul Gore St, Jamaica Plain, MA 02130-1835 | 2007-03-05 |
| 1437246725 | Katherine De Koven Wilson | Marriage & Family Therapist | 1957 Pruneridge Avenue, Room 15, Santa Clara, CA 95050-6515 | 2006-10-06 |
| Street Address |
705 BANK ST NE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087340 | Alabama Bariatrics and Minimally Invasive Surgery, PC | Surgery | 705 Bank St Ne, Decatur, AL 35601-1609 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759137 | Brittany N Eischeid | Nurse Practitioner | 1502 S Fm 51 Ste B, Decatur, TX 76234-2476 | 2020-01-19 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1235520321 | Catherine Kelsey Kinslow | Nurse Practitioner | 2406 Hwy 31, Decatur, AL 35603-1504 | 2015-02-10 |
| 1912093816 | Cara A Gravlin | Nurse Practitioner | 102 W Kenwood Ave Lowr Level, Decatur, IL 62526-4368 | 2006-10-05 |
| 1811595085 | Glenn Andrew Thomas | Nurse Practitioner | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2020-10-11 |
| 1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1689238909 | Sara K Pollock | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-04-23 |
| 1255890703 | Rachel Elizabeth Branton | Nurse Practitioner | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-03-14 |
| Find all providers in DECATUR | ||||
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| 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.