Marie Daly Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23909 Issued in TN

Practice address

7550 Goodwin Rd
Chattanooga, TN 37421

Phone

(423) 894-3252

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Beacon Health Alliance PC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1447205182
  NPD (past)
• Lifespring Community Health

  • Pediatrics Physician
  • Chattanooga, TN
  • NPI 1699079673
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1093715484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ANDOVER PL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212193",
            "telephone_number": "972-963-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 GOODWIN RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-894-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Westside Dr NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "37312",
            "country_code": "US",
            "telephone_number": "423-339-1760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 Westside Dr NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "37312",
            "country_code": "US",
            "telephone_number": "423-339-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARIE",
        "middle_name": "DALY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "663438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175647002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8N8460",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Wilson, SLP
• Katherine Wilson, LCSW
• Katrina N Wilson
• Kevin D. Wilson
• Kinsey Wilson
• Melissa L Wilson, LPC/MHSP
• Michael D Wilson, ED.S.
• Misty Wilson, SLP-CCC
• Olivia Kaziah Wilson, NP
• Stephanie Wilson, NURSE PRACTITIONER

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.