KIMBERLY ANN WILSON (NPI# 1265905038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905038 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN WILSON |
| Practice Address |
658 Lions Gate Ln Odenton MD 21113-1490 |
| Practice Telephone | 3017934452 |
| Mailing Telephone | 3017934452 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 03738 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| 1225300361 | Kimberly S Wilson | Case Manager/Care Coordinator | 12913 Condor Dr, Oklahoma City, OK 73170-5423 | 2012-02-06 |
| Street Address |
658 LIONS GATE LN |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692171 | Casey Noelle Roetz | Speech-Language Pathologist | 1130 Annapolis Rd Ste 200, Odenton, MD 21113-1671 | 2020-09-03 |
| 1467917252 | Lydia Joseph | Speech-Language Pathologist | 116 Hidden Hill Cir, Odenton, MD 21113-4015 | 2019-02-05 |
| 1346711165 | Julie Gormley | Speech-Language Pathologist | 2314 Crosslanes Way, Odenton, MD 21113-0723 | 2018-12-06 |
| 1982040556 | Ludgina Dieujuste | Speech-Language Pathologist | 8735 Thornbrook Dr, Odenton, MD 21113-3409 | 2013-05-22 |
| 1831392224 | Kathryn Wingate | Speech-Language Pathologist | 750 Pine Drift Dr, Odenton, MD 21113-2568 | 2007-06-06 |
| 1285750687 | Tracy Mitchell Parker | Speech-Language Pathologist | 1527 Star Stella Dr, Odenton, MD 21113-3705 | 2007-03-21 |
| 1558917971 | Alexandra Michelle Bridges | Speech-Language Pathologist | 1130 Annapolis Rd, Odenton, MD 21113-1648 | 2019-08-12 |
| 1245885961 | Rachel Blaustein | Speech-Language Pathologist | 1130 Annapolis Rd, Odenton, MD 21113-1648 | 2019-08-08 |
| 1689124729 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 1106 Annapolis Rd, Suite 120, Odenton, MD 21113-1637 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608769 | Ellen Cook | Speech-Language Pathologist | The Hsc Outpatient Center, 14995 Shady Grove Rd Suite 200, Rockville, MD 20850-8727 | 2020-10-30 |
| 1598365520 | Sherene Rodriguez | Speech-Language Pathologist | 4709 Rams Head Ct, Rockville, MD 20853-1142 | 2020-10-28 |
| 1669070322 | Alyssa Newberg | Speech-Language Pathologist | 7707 Ironforge Ct, Derwood, MD 20855-2257 | 2020-10-15 |
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1912505124 | Rakia Floyd | Speech-Language Pathologist | 9470 Lanham Road, Lanham, MD 20772-2077 | 2020-10-12 |
| 1497352496 | Kristine Helen Moore | Speech-Language Pathologist | 6300 Pinehurst Rd, Baltimore, MD 21212-2534 | 2020-10-04 |
| 1508473018 | Katherine Campagna | Speech-Language Pathologist | 2601 Tolley St, Baltimore, MD 21230-1534 | 2020-09-29 |
| 1407463912 | Brittani Alomar | Speech-Language Pathologist | 10001 Ardwick Ardmore Rd, Springdale, MD 20774-2640 | 2020-09-29 |
| 1558978932 | Phoenix Pediatric Therapy Services, LLC | Speech-Language Pathologist | 16201 Trade Zone Ave Ste 106, Upper Marlboro, MD 20774-8758 | 2020-09-29 |
| 1629685656 | Cali Wilde | Speech-Language Pathologist | 111 W Heath St Unit 401, Baltimore, MD 21230-4457 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.