Christi Wilson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

711 NW 1St St
Gainesville, FL 32601-5343

Phone

(352) 610-2300

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christi M Mullen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: christi.wilson.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1902255243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "352-610-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NW 1ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015343",
            "telephone_number": "352-610-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTI",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTI",
            "last_name": "MULLEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda C Wilson, LMT
• Brian Maurice Wilson
• Catherine Diane Wilson, APRN,PMHCNS-BC
• Ceasarion Wilson
• Charles S Wilson, M.D.
• Christina Annette Wilson, MD
• Crystal Mojne Wilson, MD
• Derek James Wilson
• Donn Cameron Wilson, LMT
• Elsie M Wilson, CNM

• Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.