IndividualActive
Kimberly Wilson-Lewis, PHD/CCC-SLP
NPI 1770976144 · Speech-Language Pathologist · Kingsport, TN
Provider details
- NPI number
- 1770976144
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- PHD/CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP006884 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
462 Breckenridge Trce
Kingsport, TN 37663-2988
Phone: (615) 669-6418
Street-level locationGet directions
Mailing address
462 Breckenridge Trce
Kingsport, TN 37663-2988
Additional practice locations (3)
- 572 Preserve Park DrLoganville, GA 30052-5872Phone: (678) 667-4650
- 156 S. Dossett DriveJohnson City, TN 37614Phone: (423) 439-4355Fax: (423) 439-4607
- 156 S. Dossett DriveJohnson City, TN 37614Phone: (423) 439-4355Fax: (423) 439-4607
Registry dates
- Enumerated
- 2015-03-10
- Last updated
- 2020-08-31
- Certified
- 2020-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.