Kristin Wilson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

13402 Issued in TN

Practice address

8132 Cordova Rd
Cordova, TN 38016

Phone

(901) 405-6470

Fax

(901) 747-2338

NPI assigned

Sep 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Pain Clinic Associates PLLC

  • Interventional Pain Medicine Physician
  • Memphis, TN
  • NPI 1033286513
  Medicare reassignment NPD
• Spectrum Pain Clinics Inc.

  • Interventional Pain Medicine Physician
  • Cordova, TN
  • NPI 1265533897
  Medicare reassignment NPD
• Michael E Steuer, MD, PC

  • Specialist
  • Cordova, TN
  • NPI 1861824559
  Medicare reassignment
• Michael E Steuer MD PC

  • Specialist
  • Jackson, TN
  • NPI 1114276052
  NPD
• Spectrum Pain Clinics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1053100560
  NPD
• Pain Clinic Associates PLLC

  • Interventional Pain Medicine Physician
  • Southaven, MS
  • NPI 1306496567
  NPD

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1376792192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S 3RD ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382613723",
            "telephone_number": "731-507-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 CORDOVA RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-405-6470",
            "fax_number": "901-747-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "A810389",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13402",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513081",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Annette Willis, O.T.R.
• Chelsea Wilson
• James Timothy Wilson II, D.C.
• Jessica Taylor Wilson, MD
• Katherine McLean Wilson, LPC-MHSP
• Laura K Wilson, DPT
• Mark T Wilson, DPH
• Queen Valencia Wilson
• Renee Wilson, PMHNP-BC
• Lisa Craig Winborn, PHD.

• Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.