KRISTIN WILSON (NPI# 1376792192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376792192 |
| Entity Type | Individual |
| Full Name | KRISTIN WILSON |
| Credential | NP |
| Practice Address |
8132 Cordova Rd Cordova TN 38016 |
| Mailing Address |
311 S 3rd St Union City TN 38261-3723 |
| Practice Telephone | 9014056470 |
| Practice Fax Number | 9017472338 |
| Mailing Telephone | 7315070062 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A810389 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 13402 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
13402 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1513081 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037370 | Kristin Wilson | Licensed Practical Nurse | 808 Bishop Ave, Hamilton, OH 45015-2110 | 2019-05-08 |
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1922572353 | Kristin Patricia Wilson | Counselor | 196c E Emmitt Ave, Waverly, OH 45690-1334 | 2019-01-18 |
| 1124240098 | Kristin L Wilson | Physician Assistant | 115 Enon Springs Road East, Smyrna, TN 37167 | 2007-05-02 |
| 1679670848 | Kristin A Wilson | Counselor | 710 S Old Middletown Rd, Media, PA 19063-5024 | 2006-09-20 |
| 1346742343 | Kristin Mannina Wilson | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2018-03-06 |
| 1356857023 | Kristin Jeanne Wilson | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2017-12-18 |
| 1851747596 | Kristin Nicole Wilson | Nurse Practitioner | 2011 4th St, La Grande, OR 97850-2511 | 2016-05-12 |
| 1932534112 | Kristin Wilson | Speech-Language Pathologist | 1870 W Winchester Rd Ste 203, Libertyville, IL 60048-5360 | 2013-09-06 |
| 1275881690 | Kristin Porritt Wilson | Speech-Language Pathologist | 8610 8th Ave Ne, Seattle, WA 98115-3004 | 2012-08-15 |
| Street Address |
8132 CORDOVA RD |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912929365 | Jeffrey Hall | Anesthesiology | 8132 Cordova Rd, Cordova, TN 38016 | 2006-07-24 |
| 1326526930 | Spectrum Pain Clinics Inc. | Pain Medicine | 8132 Cordova Rd, Cordova, TN 38016-6005 | 2018-08-06 |
| 1588103030 | Blues City Therapy and Rehab Pllc | General Practice | 8132 Cordova Rd, Ste 103, Cordova, TN 38016-6005 | 2017-02-16 |
| 1124565999 | West Clinic, P. C. | Internal Medicine | 8132 Cordova Rd, Suite 101, Cordova, TN 38016-6005 | 2017-01-31 |
| 1750824769 | Matthew Sheppard | Chiropractor | 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 | 2016-11-22 |
| 1528444528 | Rebecca Ralph Jones | Nurse Practitioner | 8132 Cordova Rd, Cordova, TN 38016 | 2015-08-03 |
| 1467837591 | Blake Jackson | Chiropractor | 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 | 2015-07-30 |
| 1073935425 | Charles Mason | Registered Nurse | 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 | 2014-01-19 |
| 1316137243 | Spinal Health Care Associates, P.C. | Chiropractor | 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 | 2007-07-26 |
| 1871663773 | Jason D Coleman | Chiropractor | 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620739 | Lhcg Clxii, LLC | Nurse Practitioner | 8000 Centerview Pkwy Ste 405, Cordova, TN 38018-4227 | 2020-08-24 |
| 1154953107 | Brian Gibbs | Nurse Practitioner | 1540 Appling Care Ln Ste 100, Cordova, TN 38016-4947 | 2020-02-07 |
| 1578995791 | Whitney Bolton Erickson | Nurse Practitioner | 8316 Macon Ter Ste 103, Cordova, TN 38018-8505 | 2013-07-31 |
| 1225274871 | Omnipresence Medical Services, LLC | Nurse Practitioner | 9006 River Pine Dr, Cordova, TN 38016-7196 | 2009-01-05 |
| 1821291683 | Nichole M Jones | Nurse Practitioner | 10365 Cooper Ridge Cv, Cordova, TN 38016-7619 | 2007-06-08 |
| 1104879329 | Vanessa Ann Davis | Nurse Practitioner | 146 Timber Creek Dr, Ste 200, Cordova, TN 38018-4395 | 2006-05-18 |
| 1578028239 | Tiffany D Trowles | Nurse Practitioner | 8130 Country Village Dr Ste 102, Cordova, TN 38016-2087 | 2019-02-07 |
| 1093269334 | Your Wellness Choice LLC | Nurse Practitioner | 1143 Cully Rd, Cordova, TN 38018-8502 | 2016-08-03 |
| 1609267343 | Trina | Nurse Practitioner | 420 S Germantown Pkwy, Suite 112, Cordova, TN 38018-4387 | 2015-02-17 |
| 1962646638 | Carol H Scroggins | Nurse Practitioner | 8000 Centerview Pkwy Ste 300, Cordova, TN 38018-4254 | 2009-04-26 |
| Find all providers in CORDOVA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.