Active NPI
Keith Wilson, CPO
- Prosthetic/Orthotic Supplier
- Nashville, TN
National Provider Identifier
1851732697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 1823 Charlotte Ave
Nashville, TN 37203-2104 - Phone
- (615) 340-0068
- NPI assigned
- Jul 9, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1823 Charlotte Ave
Nashville, TN 37203-2104
Mailing address
408 Highpoint Ter
Brentwood, TN 37027-8841
Phone (615) 500-4639
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1851732697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HIGHPOINT TER",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278841",
"telephone_number": "615-500-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 CHARLOTTE AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032104",
"telephone_number": "615-340-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KEITH",
"credential": "CPO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.