DR. KATELYN JEANNE WILSON PMHNP
NPI 1619430907
Military Health Care Provider in Albuquerque, NM

Active since April 12, 2019
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 846-3305 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katelyn Jeanne Wilson Pmhnp NPPES

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

DR. KATELYN JEANNE WILSON PMHNP (NPI 1619430907) is an individual military health care provider provider in Albuquerque, New Mexico and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1619430907
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. KATELYN JEANNE WILSONCredential: PMHNP
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address1030 Highlands Plaza Dr E Apt 202Saint Louis, MO 63110-1344 · (314) 225-8083
Sole ProprietorYes
Enumeration DateApril 12, 2019
NPI 1619430907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
1501 SAN PEDRO DR SE, Albuquerque, NM 87108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108

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 1619430907. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Katelyn Wilson located?

Katelyn Wilson practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 846-3305.

What is Katelyn Wilson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Katelyn Wilson was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.