Active NPI
Kelly G Wilson, FDNP
- Health & Wellness Coach
- Erie, CO
National Provider Identifier
1972493674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 2077 Tundra Cir
Erie, CO 80516-4040 - Phone
- (303) 204-1600
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 0005649 | CO | |
| Health & Wellness Coach | 171400000X | CO | Primary |
Addresses
Primary practice location
2077 Tundra Cir
Erie, CO 80516-4040
Mailing address
2077 Tundra Cir
Erie, CO 80516-4040
Phone (303) 204-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005649 | CO | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1972493674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2077 TUNDRA CIR",
"city": "ERIE",
"state": "CO",
"postal_code": "805164040",
"telephone_number": "303-204-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2077 TUNDRA CIR",
"city": "ERIE",
"state": "CO",
"postal_code": "805164040",
"telephone_number": "303-204-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KELLY",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "FDNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CO",
"license": "0005649",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.