Active NPI
Catherine J Wilson, DPM
- Podiatrist
- Las Vegas, NV
National Provider Identifier
1720179716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0306
- Practice address
- 2660 Crimson Canyon Dr
Suite 130
Las Vegas, NV 89128-0845 - Phone
- (702) 453-3799
- Fax
- (702) 453-5741
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0306 | NV | Primary |
Addresses
Primary practice location
2660 Crimson Canyon Dr
Suite 130
Las Vegas, NV 89128-0845
Mailing address
2660 Crimson Canyon Dr
Suite 130
Las Vegas, NV 89128-0845
Phone (702) 453-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100502770 | Medicaid | NV |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0306 | NV | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine J. Wilson, DPM | Podiatrist | Past | Accepting new patients |
| Alexandria Crossley Nurse Consultants Prof. Corp. | Past | Accepting new patients | |
| Lifeskills Unlimited, Inc | Past | Accepting new patients | |
| Sole to Soul Podiatry LLC | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- wilsondpm@direct.meditouchehr.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Las Vegas, NV
- NPI 1316154883
-
- Health Service Clinic/Center
- North Las Vegas, NV
- NPI 1831740505
-
- Respite Care
- North Las Vegas, NV
- NPI 1427418151
-
- Podiatrist
- Las Vegas, NV
- NPI 1982883294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1720179716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 CRIMSON CANYON DR",
"address_2": "SUITE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280845",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 CRIMSON CANYON DR",
"address_2": "SUITE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280845",
"telephone_number": "702-453-3799",
"fax_number": "702-453-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CATHERINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NV",
"license": "0306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100502770",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.