Individual provider Active NPI

Kresta L Wilson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1457478570
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
139148 Issued in KY
Practice address
825 Tiffanie CT
Lexington, KY 40514-4082
Phone
(859) 806-5717
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Speech-Language Pathologist 235Z00000X 139148 KY Primary

Addresses

Primary practice location

825 Tiffanie CT
Lexington, KY 40514-4082

Mailing address

825 Tiffanie CT
Lexington, KY 40514-4082
Phone (859) 806-5717

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kresta@milestonemakers.org

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 Science

State licenses

LicenseStateTypeSpecialty
139148KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Makers, LLC Multi-Specialty Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1457478570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 TIFFANIE CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405144082",
            "telephone_number": "859-806-5717",
            "fax_number": "859-208-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 TIFFANIE CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405144082",
            "telephone_number": "859-806-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRESTA",
        "middle_name": "L",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "139148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kresta@milestonemakers.org",
            "affiliation": "N",
            "address_1": "825 Tiffanie Ct",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405144082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.