Natalie Joan Wilson, CPNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2020010590 Issued in MO

Practice address

1463 US Hwy 61
Suite C
Festus, MO 63028-6302

Phone

(314) 596-6541

Fax

(636) 933-2910

NPI assigned

Aug 4, 2020

Last updated

Aug 4, 2020By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1114537222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 US HIGHWAY 61 STE C",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284160",
            "telephone_number": "314-596-6541",
            "fax_number": "636-933-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 US HWY 61",
            "address_2": "SUITE C",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630286302",
            "telephone_number": "314-596-6541",
            "fax_number": "636-933-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NATALIE",
        "middle_name": "JOAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2020010590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "2013015912",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PNCB CERTIFICATION NUMBER",
            "identifier": "2020010590",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Williams
• Renee Williams
• Tracy Lynn Williams, IBCLC, CLC
• Nathan David Williamson, D.M.D.
• Julie Ann Wilson, BSN, RNFA
• Kara Michelle Wirth, PA-C
• Stacy Wisdom
• Within You Counseling, LLC
• Sarah Withouse
• Emma Elizabeth Witte, PTA

• Pediatrics Physician in Festus, MO
• Providers in Festus, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.