Individual provider Active NPI

Kayla Nicole Wilson

  • Durable Medical Equipment & Medical Supplies
  • Hermitage, TN
National Provider Identifier
1891651808
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
5510 Old Hickory Blvd Ste B
Hermitage, TN 37076-2586
Phone
(615) 779-1149
NPI assigned
Jan 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 00000095471 TN
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5510 Old Hickory Blvd Ste B
Hermitage, TN 37076-2586

Mailing address

5510 Old Hickory Blvd Ste B
Hermitage, TN 37076-2586
Phone (615) 779-1149

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

State licenses

LicenseStateTypeSpecialty
00000095471TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Exquisite Krownz Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

5510 Old Hickory Blvd
Ste B
Hermitage, TN 37076
Phone (615) 779-1149

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1891651808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 OLD HICKORY BLVD STE B",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762586",
            "telephone_number": "615-779-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 OLD HICKORY BLVD STE B",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762586",
            "telephone_number": "615-779-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "00000095471",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.