Individual provider Active NPI

Karen Elizabeth Wilson, FNP

  • Family Nurse Practitioner
  • Redwood Valley, CA
National Provider Identifier
1942508106
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
FNP 19173 Issued in CA
Practice address
8501 West Rd
Redwood Valley, CA 95470-9583
Phone
(707) 485-6900
Fax
(707) 485-6909
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X FNP 19173 CA Primary

Addresses

Primary practice location

8501 West Rd
Redwood Valley, CA 95470-9583

Mailing address

8501 West Rd
Redwood Valley, CA 95470-9583
Phone (707) 485-6900

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
FNP 19173CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willits Hospital Inc. Past Accepting new patients
Redwood Valley Health Clinic, Inc. PastSince Mar 7, 2010 Accepting new patients

Organizations & group practices 2

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": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1942508106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WEST RD",
            "city": "REDWOOD VALLEY",
            "state": "CA",
            "postal_code": "954709583",
            "telephone_number": "707-485-6900",
            "fax_number": "707-485-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WEST RD",
            "city": "REDWOOD VALLEY",
            "state": "CA",
            "postal_code": "954709583",
            "telephone_number": "707-485-6900",
            "fax_number": "707-485-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "FNP 19173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.