Katherine Denise Wilson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11874 Issued in NC

Practice address

1901 Tarboro St SW Ste 301
Wilson, NC 27893-3479

Phone

(919) 719-3925

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Venture Rehabilitation Group

  • Speech-Language Pathologist
  • Greenville, NC
  • NPI 1528135035
  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1245798487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 QUINN DR NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961489",
            "telephone_number": "252-218-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 TARBORO ST SW STE 301",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933479",
            "telephone_number": "919-719-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHERINE",
        "middle_name": "DENISE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Psychiatric Associates, P.L.L.C.
• Wilson Radiation Oncology Associates, PA
• Wilson Surgical Associates PA
• Wilson Urology PA
• Wilson Wellness Center, Inc.
• Laura Wilson, DPT
• Matthew William Wilson, M.D.
• Anna Gates Winslow, AGPCNP-BC
• John Winslow
• Mia Winstead, MSW, LCAS-A

• Speech-Language Pathologist in Wilson, NC
• Providers in Wilson, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.