Active NPI
Catrina Lynette Wilson, PMPNP
- Psychiatric/Mental Health Nurse Practitioner
- Ridgeland, MS
National Provider Identifier
1659503357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 906246
- Practice address
- 731 S Pear Orchard Rd Ste 51
Ridgeland, MS 39157-4841 - Phone
- (601) 355-8634
- Fax
- (601) 960-8493
- NPI assigned
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 906246 | MS | Primary |
Addresses
Primary practice location
731 S Pear Orchard Rd Ste 51
Ridgeland, MS 39157-4841
Mailing address
501 Lincoln CV
Madison, MS 39110-7337
Phone (601) 543-7256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906246 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1659503357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LINCOLN CV",
"city": "MADISON",
"state": "MS",
"postal_code": "391107337",
"telephone_number": "601-543-7256",
"fax_number": "601-426-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 S PEAR ORCHARD RD STE 51",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574841",
"telephone_number": "601-355-8634",
"fax_number": "601-960-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CATRINA",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "PMPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "906246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.