Kathryn Marlene Wilson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

34 Issued in AK

Practice address

1275 Sadler Way
Ste 202
Fairbanks, AK 99701

Phone

(907) 452-4101

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kay Marlene Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Anesthesia Consultants of Fairbanks LLC

  • Anesthesiology Physician
  • Fairbanks, AK
  • NPI 1285272260
  Medicare reassignment NPD

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346379443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82144",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997082144",
            "telephone_number": "907-479-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "STE 202",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-452-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRYN",
        "middle_name": "MARLENE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "34",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "WILSON",
            "middle_name": "MARLENE",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caleb Wilson
• Chandi R Wilson
• Corrie Wilson, FNP-BC
• Jessica Wilson
• Jody May Wilson, AS
• Margaret M Wilson
• Tamara Wilson
• Austin Jared Windsperger, DPT
• Nancy E. Winford, LPC
• Artisha J Winfrey

• Certified Registered Nurse Anesthetist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Certified Registered Nurse Anesthetist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.