Athina Kay Wilson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

263156 Issued in CA

Practice address

17121 Erwin LN
Huntington Beach, CA 92647-5504

Phone

(714) 614-8219

NPI assigned

Jul 8, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1104267178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 ERWIN LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475504",
            "telephone_number": "714-614-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 ERWIN LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475504",
            "telephone_number": "714-614-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ATHINA",
        "middle_name": "KAY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "263156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Alicia Williams
• Daniel Lorenzo Williams Jr., D.C.
• Douglas Robert Williams, O.D.
• Natalie Williams
• Terri L Williams
• Laurie Wilson, LMFT
• Shannon Wilson
• Tamica Wilson
• Hudson Alexander Wilvers, P.T.
• Olga Wingood, LMFT

• Licensed Vocational Nurse in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.