Kimara Wilson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109333 Issued in TX

Practice address

311 Bluffview Dr
Brownwood, TX 76801-1907

Phone

(325) 646-0707

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1154049385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 1ST ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768016204",
            "telephone_number": "830-857-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BLUFFVIEW DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011907",
            "telephone_number": "325-646-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "109333",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimara.wilson@brownwoodisd.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Brownwood Independent School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "311 Bluffview Dr",
            "city": "Brownwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "768011907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Wiedebusch, HIS
• David Eric Wiley, M.D.
• Yasmin Helena Wilkinson, M.D.
• Oliver Alfred Williams, M.D.
• Jaron Nicholas Wilson, PTA
• Staci Winfrey
• Lila Louise Winks, RDH
• Winnie-Stowell Hospital District
• Paula Howard Wood
• Halbert Owen Woodward Jr., MD

• Speech-Language Pathologist in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.