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KIMBERLY CHRISTINE JACKSON
NPI 1881153203
Speech-Language Pathologist in Wytheville, VA

Active since March 15, 2019
1570 W RESERVOIR ST, WYTHEVILLE, VA 24382(276) 228-5411 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2019, Mar 15, 2019 (2 updates tracked since 2019).

About Kimberly Christine Jackson NPPES

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

KIMBERLY CHRISTINE JACKSON (NPI 1881153203) is an individual speech-language pathologist provider in Wytheville, Virginia, licensed in Virginia (2202008232) and active in the NPI registry since March 2019. She maintains a secondary practice location in Abingdon.

NPPES Registry Identity

NPI1881153203
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY CHRISTINE JACKSON
Location Address1570 W RESERVOIR STWytheville, VA 24382-1500
Mailing Address4897 Sugar Grove HwySugar Grove, VA 24375-3166
Phone(276) 228-5411
Sole ProprietorNo
Enumeration DateMarch 15, 2019
Last NPPES UpdateApril 30, 20202 updates tracked since enumeration
NPPES CertifiedApril 30, 2020
✔ NPI 1881153203 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 VA · 2202008232
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.
1570 W RESERVOIR ST, Wytheville, VA 24382
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Secondary Practice Location 1

Location 127018 Lee HwyAbingdon, VA 24211-7512 · Phone (276) 525-6043

Other Providers at the Same Location NPPES 2

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

WYTHE COUNTY PUBLIC SCHOOLS
Local Education Agency (LEA)
1570 W RESERVOIR ST
WYTHEVILLE, VA 24382
Wythe County (276) 228-5411
JASON PETTY
Physical Therapy Assistant
1570 W RESERVOIR ST
WYTHEVILLE, VA 24382
Wythe County (276) 228-5411

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 Jackson's NPI number?

The NPI number for Kimberly Jackson is 1881153203. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 1570 W Reservoir St, Wytheville, VA 24382. The listed phone number is (276) 228-5411.

What is Kimberly Jackson'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 Jackson was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.