Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kathleen P. Wilson, PHD, CPNP, FNP-BC

Individual provider Pediatric Nurse Practitioner · NPI 1679728026

Dr. Kathleen P. Wilson, PHD, CPNP, FNP-BC is a Nurse Practitioner in Tallahassee, Florida. Qualified in 1992, 34 years ago. Practices with Florida State University, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

FSU Health Lifestyle Medicine Clinic 1630 Riggins Rd
Tallahassee, FL 32308
Phone: (850) 878-4434
Fax: (949) 655-8526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP 1018702 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence ARNP 1018702 (FL)

Record details

NPI number1679728026
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , CPNP , FNP-BC
Sole proprietorNo
NPI enumeratedNovember 27, 2008
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Florida State University — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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