KATHLEEN MARIE WILSON (NPI# 1861936346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861936346 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE WILSON |
| Other Name | KATHLEEN MARIE PARKER |
| Credential | AGPCNP-BC |
| Practice Address |
551 Kokopelli Blvd Unit H Fruita CO 81521-6305 |
| Mailing Address |
2532 Patterson Rd Ste 15 Grand Junction CO 81505-3607 |
| Practice Telephone | 9708582578 |
| Practice Fax Number | 9708580798 |
| Mailing Telephone | 9702361001 |
| Mailing Fax Number | 8558201836 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN-0992757-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 249 N Plum St, Fruita, CO 815212100 | 9708582190 | 9708588083 |
| 281 N Plum St, Fruita, CO 815212100 | 9708589894 | 9708581331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430602 | Kathleen M Wilson | Physical Therapist | 7 Dominion Cir, Frisco, TX 75033-4748 | 2019-04-24 |
| 1881992816 | Kathleen Wilson | Massage Therapist | 362 Ryerson Hill Rd, South Paris, ME 04281-6205 | 2011-02-28 |
| 1568775575 | Kathleen Wilson | Developmental Therapist | 40 Plunkett St, Pittsfield, MA 01201-4339 | 2010-07-19 |
| 1871786251 | Kathleen E Wilson | Social Worker | 25 Daigle Ln Ste 101, Sanford, ME 04073-3961 | 2007-08-20 |
| 1609909159 | Kathleen Claire Wilson | Speech-Language Pathologist | 2025 Hill St, Milan, TN 38358-6587 | 2007-03-13 |
| 1184711582 | Kathleen S Wilson | Pathology | 6000 Harry Hines Blvd, Hamon Bldg, Room Na2 508a, Dallas, TX 75390-0001 | 2006-10-06 |
| 1316993272 | Kathleen Woodhouse Wilson | Internal Medicine | 24810 Burnt Pine Dr, Suite 3, Bonita Springs, FL 34134-1973 | 2006-05-25 |
| 1578518692 | Kathleen White Wilson | Physician Assistant | 75 Claremont St Ste A, Kalispell, MT 59901-3500 | 2006-05-24 |
| 1477515690 | Kathleen B Wilson | Internal Medicine | 1160 E 3900 South, Suite 1200, Salt Lake City, UT 84124 | 2006-04-04 |
| 1104328665 | Kathleen Marie Wilson | Occupational Therapist | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2018-03-01 |
| Street Address |
551 KOKOPELLI BLVD UNIT H |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262224 | Lower Valley Hospital Association | Clinic/Center | 551 Kokopelli Blvd Unit H, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1730677139 | Heather Janae Smith | Nurse Practitioner | 551 Kokopelli Blvd Unit H, Fruita, CO 81521-6305 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679519 | Amanda Winter | Nurse Practitioner | 17657 Road 27.7, Dolores, CO 81323-8605 | 2020-11-05 |
| 1568078707 | William Glenn Vause | Nurse Practitioner | 1625 S Iola St Apt 107, Aurora, CO 80012-4087 | 2020-09-22 |
| 1215547286 | Kimberly Frances Vialpando | Nurse Practitioner | 216 S 11th St, Colorado Springs, CO 80904-4300 | 2020-08-05 |
| 1881204071 | Annette K Johnson | Nurse Practitioner | 13975 W Layton Cir, Morrison, CO 80465-1071 | 2020-08-03 |
| 1194333195 | Kaitlin Kraus | Nurse Practitioner | 820 N Sherman St Apt 213, Denver, CO 80203-2975 | 2020-07-16 |
| 1386262871 | Catherine Fenster | Nurse Practitioner | 305 Prospector Ave, Durango, CO 81301-7954 | 2020-07-10 |
| 1487291233 | Next Door Health Care | Nurse Practitioner | 190 S 1st St Unit A, Bennett, CO 80102-7899 | 2019-11-27 |
| 1255981122 | Mary Jeal Carrasco | Nurse Practitioner | 6850 E Evans Ave Ste 102, Denver, CO 80224-2300 | 2019-09-12 |
| 1871057620 | Marion Eleanor Toll | Nurse Practitioner | 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 | 2019-01-25 |
| 1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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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.