Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATELYN NICOLE WILSON
NPI 1093631780
Case Manager/Care Coordinator in Antioch, CA

Q: What is Katelyn Wilson's NPI number?

The NPI number for Katelyn Wilson is 1093631780. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Q: What is Katelyn Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Wilson was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2026

3012 LONGVIEW RD, ANTIOCH, CA 94509(925) 813-5013 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katelyn Nicole Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN NICOLE WILSON (NPI 1093631780) is an individual case manager/care coordinator provider in Antioch, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1093631780

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKATELYN NICOLE WILSON

Location Address3012 LONGVIEW RDAntioch, CA 94509-5505

Mailing Address3012 Longview RdAntioch, CA 94509-5505

Phone(925) 813-5013

Sole ProprietorNo

Enumeration DateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1093631780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3012 LONGVIEW RD, Antioch, CA 94509

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Wilson's NPI number?

The NPI number for Katelyn Wilson is 1093631780. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Katelyn Wilson located?

Katelyn Wilson practices at 3012 Longview Rd, Antioch, CA 94509. The listed phone number is (925) 813-5013.

What is Katelyn Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Katelyn Wilson was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.