Karen Jean Wilson, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024050712 Issued in VA

Practice address

3050 Regent Blvd
Suite 200
Irving, TX 75063-3196

Phone

(214) 689-8079

Fax

(877) 457-3988

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1528463791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NORMAN DAVIS DR",
            "city": "TOANO",
            "state": "VA",
            "postal_code": "231689335",
            "telephone_number": "757-566-3569",
            "fax_number": "757-566-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD",
            "address_2": "SUITE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633196",
            "telephone_number": "214-689-8079",
            "fax_number": "877-457-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024050712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Fern Wilson, DDS MSD
• Christopher Reshaud Wilson, PTA
• Clara Wilson
• Erin Wilson
• John E Wilson, DC
• Marina Wilson, D.C., M.S.F.N.
• Moniek Wilson, BCBA
• Tiffany Wilson, SLP
• Lori Rae Wimberley, P.A.
• Matteson Mackenzie Wimberly, M.S. CCC-SLP

• Gerontology Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.