Kari Renee Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05973 Issued in TX

Practice address

115 E Lee Ave
Weatherford, TX 76086-5444

Phone

(817) 637-4358

NPI assigned

Feb 3, 2009

Last updated

Jul 15, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1922246560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LEE AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865444",
            "telephone_number": "817-637-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LEE AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865444",
            "telephone_number": "817-637-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KARI",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201593501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00696384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Van Wilkes, DO
• Addison Wilkins
• Caren R Williams, PHD, MED, LPC
• Michael Williams
• Jill Wilson
• Leah Ann Wilson, P.A.
• Winnie-Stowell Hospital District (Holland Lake Rehabilitation and Wellness Center)
• Anne Greer Winquist, HIS
• Mary Beth Winton, N.P.
• Madison R Witt, SLP

• Physician Assistant in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.