Kaitlin Wilson, CNM, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

251088 Issued in GA

Practice address

5195 Jimmy Carter Blvd
Norcross, GA 30093-1649

Phone

(470) 514-5818

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1003465337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 VILLAGE SPRINGS PL",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303382401",
            "telephone_number": "571-721-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5195 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931649",
            "telephone_number": "470-514-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAITLIN",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "251088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.centroprenataldega.com",
            "affiliation": "N",
            "address_1": "5195 Jimmy Carter Blvd",
            "city": "Norcross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300931649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Najiyyah M Williams, CNA
• Tina V Williams, M.D.
• Willie Y W Chen MD PC Inc
• Wilmer & Associates Group Inc.
• Gia Amani Wilson
• Sydney Autumn Chantel Wilson
• Megan Wiltse
• Dusti Winters
• WM.Henry Wall
• Women'S Imaging Specialists - Norcross, LLC

• Women's Health Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.