Organization Active NPI

Wellness Evolution

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1548064470
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELLNESS EVOLUTION
Practice address
1148 Vickery LN
Cordova, TN 38016-1619
Phone
(901) 206-2894
Fax
(901) 554-8330
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Allyson Williams, APRNNPI 1407115579
Title
Owner
Phone
(870) 217-6743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1148 Vickery LN
Cordova, TN 38016-1619

Mailing address

6025 Stage Rd Ste 42-362
Bartlett, TN 38134-8374
Phone (901) 206-2894

Other names 1

  • Wellness Evolution Doing business as

National Provider Directory

National Provider Directory

Locations

6025 Stage Rd
Ste 42362
Bartlett, TN 38134

1148 Vickery Ln
Cordova, TN 38016
Phone (901) 206-2894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1548064470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 STAGE RD STE 42-362",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381348374",
            "telephone_number": "901-206-2894",
            "fax_number": "901-554-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 VICKERY LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161619",
            "telephone_number": "901-206-2894",
            "fax_number": "901-554-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS EVOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-217-6743",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Evolution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.