Individual provider Active NPI

Kathya Yamely Wilson, CRNP, FNP-C

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1831852318
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024439 Issued in PA
Practice address
450 Chew St
Allentown, PA 18102-3434
Phone
(610) 776-4888
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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 SP024439 PA Primary

Addresses

Primary practice location

450 Chew St
Allentown, PA 18102-3434

Mailing address

450 Chew St
Allentown, PA 18102-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230418001862 PA Practitioner - Nurse Practitioner 4486029790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Community Health IncGroup PAC ID 7618215237, 56 clinicians

Practice addresses (Care Compare)

450 Chew St
Allentown, PA 18102-3434

511 E 3Rd St
Unit 301
Bethlehem, PA 18015-2096
Phone (484) 619-0975

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024439PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jan 3, 2023 Accepting new patients
Star Community Health, Inc CurrentSince Jan 3, 2023 Accepting new patients

Locations

450 Chew St
Ste 101
Allentown, PA 18102
Phone (610) 776-4565

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: kathya.wilson@slpg.direct-sluhn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1831852318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023434",
            "telephone_number": "610-776-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHYA",
        "middle_name": "YAMELY",
        "name_prefix": "Mrs.",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.