KATHERINE WILSON (NPI# 1710496351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710496351 |
| Entity Type | Individual |
| Full Name | KATHERINE WILSON |
| Practice Address |
5721 W 119th St Overland Park KS 66209-3722 |
| Mailing Address |
5701 W 119th St Ste 410 Overland Park KS 66209-3721 |
| Practice Telephone | 9134986000 |
| Mailing Telephone | 9133456901 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 77899 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245798487 | Katherine Denise Wilson | Speech-Language Pathologist | 1901 Tarboro St Sw Ste 301, Wilson, NC 27893-3479 | 2019-03-06 |
| 1437519907 | Katherine Elizabeth Wilson | Physical Therapist | 5372 B Old Virginia St, Urbanna, VA 23175 | 2016-02-26 |
| 1942620059 | Katherine Morgan Wilson | Pediatrics | 3399 East Grand River Ave, Suite 200, Howell, MI 48843-7555 | 2014-04-16 |
| 1134440613 | Katherine L. Wilson | Psychologist | 5750 Sunrise Blvd Ste 130-f, Citrus Heights, CA 95610-7634 | 2010-06-18 |
| 1831334226 | Katherine Wilson | Behavioral Analyst | 1404 Beverly Dr, Richmond, VA 23229-4802 | 2008-12-13 |
| 1184884520 | Katherine Jones Wilson | Speech-Language Pathologist | 8338 Blades Trl, Denver, NC 28037-9154 | 2008-06-10 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1750502159 | Katherine Dunn Wilson | Dentist | 74 State Rd Ste 102, Kittery, ME 03904-1562 | 2007-05-01 |
| 1811026099 | Katherine Wilson | Acupuncturist | 68 Paul Gore St, Jamaica Plain, MA 02130-1835 | 2007-03-05 |
| 1437246725 | Katherine De Koven Wilson | Marriage & Family Therapist | 1957 Pruneridge Avenue, Room 15, Santa Clara, CA 95050-6515 | 2006-10-06 |
| Street Address |
5721 W 119TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799557 | William Martin Chase | Radiology | 5721 W 119th St, Overland Park, KS 66209-3722 | 2005-06-10 |
| 1912520446 | Anna Polodna | Registered Nurse | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-05-19 |
| 1356974679 | Wound Integrity Kansas Pa | Family Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-02-14 |
| 1407497720 | Krystal Marie Katzer | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-10-08 |
| 1386207025 | Tyson Mark Frost | Nurse Anesthetist, Certified Registered | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-04-18 |
| 1487112215 | Elizabeth Allison Ruth Graham | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-03-11 |
| 1730646647 | Allison Hayden Bertken | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-02-27 |
| 1710454327 | Overland Park Kidney, LLC | Internal Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-11-01 |
| 1659878874 | Jonathan E Mowrey | Student in an Organized Health Care Education/Training Program | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-04-13 |
| 1720519358 | Travis Hamm | Registered Nurse | 5721 W 119th St, Overland Park, KS 66209-3722 | 2017-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| 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 |
|---|---|---|---|---|
| 1235784208 | Mh Health of Kansas, Pa | Nurse Practitioner | 8500 Antioch Rd, Overland Park, KS 66212-3503 | 2019-08-07 |
| 1235796913 | Joshua Anno | Nurse Practitioner | 10550 Quivira Rd Ste 335, Overland Park, KS 66215-2378 | 2019-05-28 |
| 1144701806 | Rachael Rosenbaum Hartwich | Nurse Practitioner | 4831 W 136th St Unit A, Overland Park, KS 66224-5924 | 2018-08-21 |
| 1679066708 | Amanda Nicole Wilkinson | Nurse Practitioner | 6010 W 124th St, Overland Park, KS 66209-2750 | 2018-06-13 |
| 1073018982 | Angela Renee Lowery | Nurse Practitioner | 11608 W 117th Ter, Overland Park, KS 66210-3455 | 2018-03-24 |
| 1902315120 | Aubrey Katherine Marie Fraley | Nurse Practitioner | 14253 Metcalf Ave, Overland Park, KS 66223-3367 | 2017-09-20 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1396125159 | Sara Peterson | Nurse Practitioner | 10600 Quivira Rd Fl 3, Overland Park, KS 66215-2309 | 2015-06-05 |
| 1912331893 | Kelly N Brazzle | Nurse Practitioner | 10600 Quivira Rd Ste 110, Overland Park, KS 66215 | 2013-08-27 |
| 1174897466 | Leslee Ellen Carneal | Nurse Practitioner | 12140 Nall Ave Ste 200, Overland Park, KS 66209-2507 | 2012-03-04 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.