MISS KYLIE DEWALD MA
NPI 1083404859
Speech-Language Pathologist in Wilmington, NC

Active since May 07, 2025
4114 SHIPYARD BLVD, WILMINGTON, NC 28403(910) 343-8988(910) 343-4144 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2026, May 7, 2025 (2 updates tracked since 2025).

About Miss Kylie Dewald Ma NPPES

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

MISS KYLIE DEWALD MA (NPI 1083404859) is an individual speech-language pathologist provider in Wilmington, North Carolina, licensed in North Carolina (30004953) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1083404859
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS KYLIE DEWALDCredential: MA
Location Address4114 SHIPYARD BLVDWilmington, NC 28403-6155
Mailing Address4114 Shipyard BlvdWilmington, NC 28403-6155 · (910) 343-8988 · Fax (910) 343-4144
Fax(910) 343-4144
Sole ProprietorNo
Enumeration DateMay 7, 2025
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1083404859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NC · 30004953
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4114 SHIPYARD BLVD, Wilmington, NC 28403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Kylie Dewald Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193294858
PECOS Enrollment IDI20260512003428

Other Providers at the Same Location NPPES 11

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

Speech-Language Pathologist
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Speech-Language Pathologist
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Clinic/Center (Multi-Specialty)
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Speech-Language Pathologist
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Speech-Language Pathologist
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Speech-Language Pathologist
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Occupational Therapist
4114 SHIPYARD BLVD
WILMINGTON, NC 28403
Physical Therapist (Pediatrics)
4114 SHIPYARD BLVD
WILMINGTON, NC 28403

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 Kylie Dewald's NPI number?

The NPI number for Kylie Dewald is 1083404859. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Kylie Dewald located?

Kylie Dewald practices at 4114 Shipyard Blvd, Wilmington, NC 28403. The listed phone number is (910) 343-8988.

What is Kylie Dewald's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kylie Dewald enrolled in Medicare?

Yes. Kylie Dewald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylie Dewald was last updated on April 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.