Thad Rahn Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

07434 Issued in MO

Practice address

3039 Troost Ave
Kansas City, MO 64109-1540

Phone

(816) 329-5233

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1568634574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 E SILVER LN",
            "city": "SUGAR CREEK",
            "state": "MO",
            "postal_code": "640541175",
            "telephone_number": "816-461-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641091540",
            "telephone_number": "816-329-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "THAD",
        "middle_name": "RAHN",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "07434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Rae Wilson, PH.D.
• Ronald W. Wilson, LSCSW
• Stephanie M. Wilson, D.D.S.
• Susan Bernadette Wilson, PH.D.
• Sydney Jay Wilson, MA, BCBA, LBA
• Timothy Allen Wilson, M.D.
• Whitney Elaine Wilson, LCSW
• Winnie H Wilson
• Zachary Wilson, MA, LPC
• David A Wilt, MD

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.