Active NPI
Marietta Wilson, RN
- Registered Nurse
- Nashville, TN
National Provider Identifier
1174779367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 84068
- Practice address
- 4230 Harding Rd Ste 300
Medical Plaza East
Nashville, TN 37205-2158 - Phone
- (615) 783-1269
- NPI assigned
- Aug 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 84068 | TN | Primary |
Addresses
Primary practice location
4230 Harding Rd Ste 300
Medical Plaza East
Nashville, TN 37205-2158
Mailing address
185 Spy Glass Way
Hendersonville, TN 37075-8587
Phone (615) 826-6296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84068 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1174779367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SPY GLASS WAY",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758587",
"telephone_number": "615-826-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HARDING RD STE 300",
"address_2": "MEDICAL PLAZA EAST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052158",
"telephone_number": "615-783-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARIETTA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-07",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "84068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.