Active NPI
Kelly E Wilson
- Specialist
- Houston, TX
National Provider Identifier
1538255344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J9443
- Practice address
- 7400 Fannin Suite 930
Houston, TX 77054 - Phone
- (713) 796-8200
- Fax
- (713) 796-8203
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | J9443 | TX | Primary |
Addresses
Primary practice location
7400 Fannin Suite 930
Houston, TX 77054
Mailing address
6448 Brompton
Houston, TX 77055
Phone (713) 839-0581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620000471 | TX | Order and Referring Only - Obstetrics/Gynecology | 7911143482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hwca, PLLC | Past | Accepting new patients | |
| Houston Women'S Care Associates, P.a. | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Houston, TX
- NPI 1730376021
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1528299310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538255344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6448 BROMPTON",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77055",
"telephone_number": "713-839-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 FANNIN SUITE 930",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-796-8200",
"fax_number": "713-796-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KELLY",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J9443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.