Koteuaisa Wilson, CH
NPI 1295035558 · Chiropractor · Lakeland, FL
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koteuaisa Wilson, CH is a Chiropractor provider in Lakeland, FL (NPI 1295035558).
Provider details
- NPI number
- 1295035558
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- CH
- Sex
- Female
- Sole proprietor
- Yes
- License
- CH10077 (FL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is Koteuaisa Wilson's NPI number?
- Koteuaisa Wilson's National Provider Identifier (NPI) is 1295035558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koteuaisa Wilson's specialty?
- Koteuaisa Wilson is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is Koteuaisa Wilson located?
- Koteuaisa Wilson's practice location on file with NPPES is 202 Lake Miriam Dr Ste W3, Lakeland, FL 33813-2179.
- What is Koteuaisa Wilson's phone number?
- The practice phone number listed in the NPPES registry for Koteuaisa Wilson is (863) 647-0808.
- Does Koteuaisa Wilson accept Medicare?
- Koteuaisa Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Koteuaisa Wilson's NPI active?
- Yes — Koteuaisa Wilson's NPI (1295035558) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.