Individual provider Active NPI

Kimberly Lynette Vann-Hunt, M.ED. CCC-SLP

  • Speech-Language Pathologist
  • Knightdale, NC
National Provider Identifier
1134218324
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3929 Issued in NC
Practice address
1003 Crabtree CT
Knightdale, NC 27545-9294
Phone
(919) 632-2866
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3929 NC Primary

Addresses

Primary practice location

1003 Crabtree CT
Knightdale, NC 27545-9294

Mailing address

1003 Crabtree CT
Knightdale, NC 27545-9294
Phone (919) 632-2866

Other identifiers 2

IdentifierTypeStateIssuer
7411090MedicaidNC
10395OtherNCBCBSNC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3929NCMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1134218324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 CRABTREE CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459294",
            "telephone_number": "919-632-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 CRABTREE CT",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459294",
            "telephone_number": "919-632-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN-HUNT",
        "first_name": "KIMBERLY",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "M.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411090",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC #",
            "identifier": "10395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.