Kelvin Teknah Wilson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024194965 Issued in VA

Practice address

20 Ellsworth St
Martinsville, VA 24112-2812

Phone

(276) 632-0035

NPI assigned

Dec 1, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1396607263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2264 YORK DR APT 302",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915718",
            "telephone_number": "276-632-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELLSWORTH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122812",
            "telephone_number": "276-632-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KELVIN",
        "middle_name": "TEKNAH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelvinwilson@envisionhealthinc.org",
            "affiliation": "Y",
            "affiliationName": "Envision Health Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Ellsworth St",
            "city": "Martinsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241122812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hazel Williams
• John H Williams Jr., LPTA
• Cherrita Wilson
• James L Wilson, D.D.S.
• Jessica Wilson, PHARM. D., BCSCP
• Kristen Wilson
• Wimmer Optical
• June Wingfield
• Melinda Winikur, FNP
• Women'S Health Spectrum LLC

• Psychiatric/Mental Health Nurse Practitioner in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.