Individual provider Active NPI

Kathy A. Wilson, ARNP

  • Family Nurse Practitioner
  • Mary Esther, FL
National Provider Identifier
1174508915
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9162558 Issued in FL
Practice address
71 Mary Esther Blvd
Mary Esther, FL 32569-1967
Phone
(850) 301-0677
Fax
(850) 243-0040
NPI assigned
Dec 14, 2005
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X ARNP9162558 FL Primary

Addresses

Primary practice location

71 Mary Esther Blvd
Mary Esther, FL 32569-1967

Mailing address

151 Mary Esther Blvd
Ste 408
Mary Esther, FL 32569-1975
Phone (850) 863-3000

Other identifiers 1

IdentifierTypeStateIssuer
303882300MedicaidFL

Other names 1

  • Kathy Trigg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9162558FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Bayne Jones Army Community Hospital PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1174508915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD",
            "address_2": "STE 408",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691975",
            "telephone_number": "850-863-3000",
            "fax_number": "850-862-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MARY ESTHER BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691967",
            "telephone_number": "850-301-0677",
            "fax_number": "850-243-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHY",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9162558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303882300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "TRIGG",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mary Esther, FL

Sources for this page

Verify at the official NPI Registry.