Olivia Kaziah Wilson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

38123 Issued in TN

Practice address

513 Georgia Ave
Chattanooga, TN 37403-3402

Phone

(423) 619-9426

NPI assigned

Feb 4, 2025

Last updated

Mar 28, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1982418562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LOGAN LN",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215071",
            "telephone_number": "423-619-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GEORGIA AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033402",
            "telephone_number": "423-619-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "OLIVIA",
        "middle_name": "KAZIAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinsey Wilson
• Marie Daly Wilson, FNP
• Melissa L Wilson, LPC/MHSP
• Michael D Wilson, ED.S.
• Misty Wilson, SLP-CCC
• Stephanie Wilson, NURSE PRACTITIONER
• Valerie Faye Wilson, LPN, MX
• William Carroll Wilson, PA-C, MMSC.
• Willim Wilson
• Briana Nicole Wimsatt

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.