Theresa Wilson

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

232971 Issued in TN

Practice address

11608 Boston Ivy LN
Knoxville, TN 37932-1005

Phone

(720) 227-3491

NPI assigned

Oct 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1174499867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342863",
            "telephone_number": "720-227-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 BOSTON IVY LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321005",
            "telephone_number": "720-227-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "TN",
            "license": "232971",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "TN",
            "license": "232971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Samantha Wilson
• Shealynn G Wilson
• Stephen Wilson, PT
• Susan S Wilson, LCSW
• Sydney Madison Wilson
• Thomas Joseph Wilson
• Timothy Scott Wilson, MD
• Virginia Christina Wilson, MS
• Whitney Leanne Wilson
• William Isaac Wilson, MSW, LCSW

• Wound Care Registered Nurse in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Wound Care Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.