Active NPI
Whitney Wilson, APRN-C
- Family Nurse Practitioner
- La Grange, KY
National Provider Identifier
1467164657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11220970
- Practice address
- PO Box 69
La Grange, KY 40031-0069 - Phone
- (502) 222-0170
- NPI assigned
- Dec 19, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11220970 | KY | Primary |
Addresses
Primary practice location
PO Box 69
La Grange, KY 40031-0069
Mailing address
PO Box 69
La Grange, KY 40031-0069
Phone (502) 222-0710
Other practice location 1
200 Road To Justice
West Liberty, KY 41472-2140
Phone (606) 743-2800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11220970 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1467164657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400310069",
"telephone_number": "502-222-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400310069",
"telephone_number": "502-222-0170"
}
],
"practiceLocations": [
{
"address_1": "200 Road To Justice",
"address_purpose": "LOCATION",
"city": "West Liberty",
"state": "KY",
"postal_code": "414722140",
"country_code": "US",
"telephone_number": "606-743-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "WHITNEY",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "F11220970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.