Active NPI
Wellness Evolution
- Psychiatric/Mental Health Nurse Practitioner
- Cordova, TN
National Provider Identifier
1548064470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allyson Williams, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1407115579
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.