Individual provider Active NPI

Natasha Wilson, NP

  • Primary Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1932577236
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN0000021843 Issued in TN
Practice address
2000 Richard Jones Rd Ste 220
Gold Skin Care Center
Nashville, TN 37215-2885
Phone
(615) 383-2400
Fax
(615) 383-1948
NPI assigned
Sep 3, 2015
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 21843 TN
Primary Care Nurse Practitioner 363LP2300X 6617-33 WI
Primary Care Nurse Practitioner 363LP2300X APN0000021843 TN Primary

Addresses

Primary practice location

2000 Richard Jones Rd Ste 220
Gold Skin Care Center
Nashville, TN 37215-2885

Mailing address

2000 Richard Jones Rd Ste 220
Gold Skin Care Center
Nashville, TN 37215-2885
Phone (615) 383-2400

Other identifiers 1

IdentifierTypeStateIssuer
363LP2300XMedicaidWI

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000021843TNMDPrimary Care Nurse Practitioner
6617-33WIMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1932577236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD STE 220",
            "address_2": "GOLD SKIN CARE CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152885",
            "telephone_number": "615-383-2400",
            "fax_number": "615-383-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD STE 220",
            "address_2": "GOLD SKIN CARE CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152885",
            "telephone_number": "615-383-2400",
            "fax_number": "615-383-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NATASHA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "21843",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "6617-33",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000021843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LP2300X",
            "state": "WI"
        }
    ],
    "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 Oct 3, 2017; 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.