Active NPI
Karen Marie Wilson, D.C.
- Chiropractor
- Wilmington, NC
National Provider Identifier
1154440022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2351
- Practice address
- 5725 Oleander Dr
Suite F5
Wilmington, NC 28403-4745 - Phone
- (910) 796-1311
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2351 | NC | Primary |
Addresses
Primary practice location
5725 Oleander Dr
Suite F5
Wilmington, NC 28403-4745
Mailing address
5725 Oleander Dr
Wilmington, NC 28403-4745
Phone (910) 796-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0828V | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120611000006 | NC | Practitioner - Chiropractic | 4789848409 | Practice locations: Wilmington, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5725 Oleander Dr
Suite F5
Wilmington, NC 28403-4747
Phone (910) 796-1311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2351 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1154440022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5725 OLEANDER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034745",
"telephone_number": "910-796-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 OLEANDER DR",
"address_2": "SUITE F5",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034745",
"telephone_number": "910-796-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0828V",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.