Kristy Wilson, LVN

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

210584 Issued in TX

Practice address

2973 Sunridge Rd
Schertz, TX 78108-3049

Phone

(210) 274-3556

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1689251001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 SUNRIDGE RD",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781083049",
            "telephone_number": "210-274-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 SUNRIDGE RD",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781083049",
            "telephone_number": "210-274-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTY",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "TX",
            "license": "210584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25072265",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mobilewoundcare.net",
            "affiliation": "N",
            "address_1": "2973 Sunridge Rd",
            "city": "Schertz",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781083049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Amanda Katherine Williamson, OD
• Samantha Lorene Wilson
• Brittney Maria Winn, PT, DPT
• Silene Wold
• Vesta Rose Wolfe
• Wooly Wisdom Counseling PLLC

• Clinical Nurse Specialist in Schertz, TX
• Providers in Schertz, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.