Individual provider Active NPI

Kasie Wilson

  • Midwife
  • Wichita Falls, TX
National Provider Identifier
1013269877
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
12090011 Issued in TX
Practice address
3509 University Ave
Wichita Falls, TX 76308-1425
Phone
(940) 642-8317
Fax
(855) 822-0323
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 12090011 TX Primary

Addresses

Primary practice location

3509 University Ave
Wichita Falls, TX 76308-1425

Mailing address

3509 University Ave
Wichita Falls, TX 76308-1425
Phone (940) 642-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12090011TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Bump Birthing Center Inc. Midwife Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1013269877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 UNIVERSITY AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081425",
            "telephone_number": "940-642-8317",
            "fax_number": "855-822-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 UNIVERSITY AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763081425",
            "telephone_number": "940-642-8317",
            "fax_number": "855-822-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KASIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "12090011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.