Kristin B Wilson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39058 Issued in CO

Practice address

1475 Pine Grove Rd
Suite 102
Steamboat Springs, CO 80487-8803

Phone

(970) 879-0203

Fax

(970) 879-1389

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1861595852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE RD",
            "address_2": "SUITE 102",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-0203",
            "fax_number": "970-879-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE RD",
            "address_2": "SUITE 102",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-0203",
            "fax_number": "970-879-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080187000",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63574748",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Williams
• Sarah Jane Williams
• Devyn H Williamson, MS,CCC-SLP
• Willowcreek Oxygen and Medical Supply Inc
• Adam S Wilson, MD
• Von Wayne Wilson, D.C.
• Shannon E Winegarner
• Winters Hand Works LLC
• Alicia Woller, PT
• Pamela Jo Wooster, RDN, MED, CDE

• Family Medicine Physician in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.