Individual provider Active NPI

Katherine Wilson, CRNP

  • Acute Care Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1730651233
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-130871 Issued in AL
Practice address
705 Bank St NE
Decatur, AL 35601-1609
Phone
(256) 274-4523
NPI assigned
Dec 20, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-130871 AL Primary

Addresses

Primary practice location

705 Bank St NE
Decatur, AL 35601-1609

Mailing address

2704 Bransford TRL SE
Owens Cross Roads, AL 35763-8456
Phone (256) 529-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117000128 AL Practitioner - Nurse Practitioner 0244576908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-130871ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Bariatrics and Minimally Invasive Surgery, PC CurrentSince Jan 2, 2019 Accepting new patients
The Orthopaedic Center CurrentSince Nov 10, 2021 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Nov 1, 2023 Accepting new patients
Tennessee Valley Total Women's Care, Inc. Past Accepting new patients

Locations

705 Bank St NE
Decatur, AL 35601
Phone (256) 221-6784

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1730651233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BRANSFORD TRL SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638456",
            "telephone_number": "256-529-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BANK ST NE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356011609",
            "telephone_number": "256-274-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-130871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.