Individual provider Active NPI

Keith Wilson, ARNP

  • Family Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1750417770
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3387P Issued in KY
Practice address
119 Memorial Dr
Franklin, KY 42134-2752
Phone
(270) 586-9533
Fax
(270) 586-0123
NPI assigned
Feb 26, 2007
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3387P KY Primary

Addresses

Primary practice location

119 Memorial Dr
Franklin, KY 42134-2752

Mailing address

PO Box 2807
119 Memorial Drive
Franklin, KY 42135-2807
Phone (270) 586-9533

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6212TNMDOrthopaedic Surgery Physician
3387PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John V Adams MD Past Accepting new patients
Anesthesia Services Associates, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1750417770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2807",
            "address_2": "119 MEMORIAL DRIVE",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421352807",
            "telephone_number": "270-586-9533",
            "fax_number": "270-586-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MEMORIAL DR",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342752",
            "telephone_number": "270-586-9533",
            "fax_number": "270-586-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEITH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3387P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.