KAYCI DIAL WILSON NURSE PRACTITIONER NPI 1720205586

NPI Information

NPI: 1720205586
Provider Name: KAYCI DIAL WILSON, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
815 S PINE ST
VIVIAN, LA
ZIP 71082
Phone: (318) 375-3239
Get Directions

Kayci Dial Wilson, NURSE PRACTITIONER is a family nurse practitioner in Vivian, LA with 18 years of experience. Kayci Dial Wilson, NURSE PRACTITIONER NPI is 1720205586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

815 S PINE ST
VIVIAN, LA
ZIP 71082-353
Phone: (318) 375-3239
Fax: (318) 375-2755

The NPI 1720205586 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN097383	LOUISIANA	No
2	363LF0000X	Nurse Practitioner	Family	AP05072	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2100360	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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