Individual provider Active NPI

Wendy K Wilson, RN,,PMHCNS-BC, APN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Nashville, TN
National Provider Identifier
1376988220
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
17280 Issued in TN
Practice address
2011 Ashwood Ave
Nashville, TN 37212-5015
Phone
(615) 383-4694
Fax
(615) 383-0228
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 17280 TN Primary

Addresses

Primary practice location

2011 Ashwood Ave
Nashville, TN 37212-5015

Mailing address

2011 Ashwood Ave
Nashville, TN 37212-5015
Phone (615) 383-4694

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)
Enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1376988220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ASHWOOD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125015",
            "telephone_number": "615-383-4694",
            "fax_number": "615-383-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ASHWOOD AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125015",
            "telephone_number": "615-383-4694",
            "fax_number": "615-383-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WENDY",
        "middle_name": "K",
        "credential": "RN,,PMHCNS-BC, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "17280",
            "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 May 6, 2013; 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.