1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Speech Language Pathologist
  6. NPI Profile

DR. KIMBERLY RENEE WILSON-LEWIS PHD/CCC-SLP
NPI 1770976144
Speech-Language Pathologist in Kingsport, TN

Active since March 10, 2015
462 BRECKENRIDGE TRCE, KINGSPORT, TN 37663(615) 669-6418 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2020, May 28, 2020, May 24, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Kimberly Renee Wilson-lewis Phd/ccc-slp NPPES

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

DR. KIMBERLY RENEE WILSON-LEWIS PHD/CCC-SLP (NPI 1770976144) is an individual speech-language pathologist provider in Kingsport, Tennessee, licensed in Tennessee (6628) and active in the NPI registry since March 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770976144
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDR. KIMBERLY RENEE WILSON-LEWISCredential: PHD/CCC-SLP
Location Address462 BRECKENRIDGE TRCEKingsport, TN 37663-2988
Mailing Address462 Breckenridge TrceKingsport, TN 37663-2988 · (615) 669-6418
Phone(615) 669-6418
Sole ProprietorNo
Enumeration DateMarch 10, 2015
Last NPPES UpdateAugust 31, 20204 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1770976144 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
Licenses✔ Licensed in TN · 6628✔ Licensed in GA · SLP006884
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.
462 BRECKENRIDGE TRCE, Kingsport, TN 37663
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1572 Preserve Park DrLoganville, GA 30052-5872 · Phone (678) 667-4650
Location 2156 S. Dossett DriveJohnson City, TN 37614 · Phone (423) 439-4355 · Fax (423) 439-4607

Other Identifiers 1

MedicaidQ048423TN

Other Providers at the Same Location NPPES

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

THE PRACTICAL CLINICIAN PLLC
Speech-Language Pathologist
462 BRECKENRIDGE TRCE
KINGSPORT, TN 37663
Sullivan County (678) 667-4650

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 Kimberly Wilson-lewis's NPI number?

The NPI number for Kimberly Wilson-lewis is 1770976144. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Kimberly Wilson-lewis located?

Kimberly Wilson-lewis practices at 462 Breckenridge Trce, Kingsport, TN 37663. The listed phone number is (615) 669-6418.

What is Kimberly Wilson-lewis's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Wilson-lewis was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.