Kaul Wilson, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1021494 Issued in TX

Practice address

1600 S FM 2381
Amarillo, TX 79124-1900

Phone

(806) 310-9855

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
• Direct secure messaging: kaul.wilson.1@25616.direct.athenahealth.com

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.

• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Nurse Practitioner
  • Panhandle, TX
  • NPI 1487886966
  Medicare reassignment NPD
• Panhandle Family Care LLC

  dba Family Care Clinic of Panhandle

  • Rural Health Clinic/Center
  • Panhandle, TX
  • NPI 1003407834
  NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1851123343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "BUSHLAND",
            "state": "TX",
            "postal_code": "790120016",
            "telephone_number": "806-310-9855",
            "fax_number": "806-310-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S FM 2381",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241900",
            "telephone_number": "806-310-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAUL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Michelle Wilson, PTA
• Howard Franklin Wilson, PH.D.
• Jennifer Wilson, SLP
• Joanna Wilson, DO
• John Patrick Wilson, RPH
• Susan Jane Wilson, MED., LPC
• Madyson Vawn Wimer, COTA
• Soe Win, MD
• Chad C Winchester, ARNP
• Windmill Dental

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.