Kettia Wilson, MSN NC-BC RN

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

RN.1632281 Issued in CO

Practice address

15460 Canyon Gulch LN Unit 210
Englewood, CO 80112-4705

Phone

(303) 901-9163

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1952116196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 CANYON GULCH LN UNIT 210",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124705",
            "telephone_number": "303-901-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15460 CANYON GULCH LN UNIT 210",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124705",
            "telephone_number": "303-901-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KETTIA",
        "credential": "MSN NC-BC RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CO",
            "license": "RN.1632281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Williamson
• Mindy Gay Willits, RN NP
• Andrea Willmann, COTA/L
• Bryce Craig Willson, MA, CACIII, LPC
• Joel E Wilson, MD
• Laura Wilson, RBT
• Mattea Wilson, BCBA
• Nicole Wilson, PA
• Mary E Wilterdink, CNM
• William John Wimett, N.P.

• Health & Wellness Coach in Englewood, CO
• Providers in Englewood, CO by specialty
• Health & Wellness Coach in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.