Active NPI
Kathy Wilson, M.D., P. a.
- Sleep Medicine (Internal Medicine) Physician
- Kerrville, TX
National Provider Identifier
1073538864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- KATHY WILSON, M.D., P. A.
- Practice address
- 703 Hill Country Dr
Suite 302
Kerrville, TX 78028-5904 - Phone
- (830) 792-1132
- Fax
- (830) 792-7747
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Rose Wilson, M. D.
- Title
- President
- Phone
- (830) 792-1132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | TX | Primary |
Addresses
Primary practice location
703 Hill Country Dr
Suite 302
Kerrville, TX 78028-5904
Mailing address
PO Box 291826
Kerrville, TX 78029-1826
Phone (830) 792-1132
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC8043 | Other | TX | MEDICARE RAILROAD GROUP |
| P00191112 | Other | TX | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
703 Hill Country Dr
Ste 302
Kerrville, TX 78028
Phone (830) 792-1132
710 Water St
Ste 507
Kerrville, TX 78028
Phone (830) 792-1132
710 Water St
Ste 506
Kerrville, TX 78028
Phone (830) 257-3467
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pasadena, TX
- NPI 1326686650
-
- Sleep Medicine (Internal Medicine) Physician
- Kerrville, TX
- NPI 1003884933
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- West Lake Hills, TX
- NPI 1811088669
-
- Family Nurse Practitioner
- Kerrville, TX
- NPI 1144244856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1073538864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 291826",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780291826",
"telephone_number": "830-792-1132",
"fax_number": "830-792-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 HILL COUNTRY DR",
"address_2": "SUITE 302",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285904",
"telephone_number": "830-792-1132",
"fax_number": "830-792-7747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY WILSON, M.D., P. A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "830-792-1132",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "DC8043",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00191112",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.