Individual provider Active NPI

Kati Wilson

  • Speech-Language Pathologist
  • Lexington, KY
National Provider Identifier
1700370558
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
251230 Issued in KY
Practice address
1900 Richmond Rd
Lexington, KY 40502-1204
Phone
(859) 554-8185
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 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 Pathologist 235Z00000X 242715
Speech-Language Pathologist 235Z00000X 251230 KY Primary

Addresses

Primary practice location

1900 Richmond Rd
Lexington, KY 40502-1204

Mailing address

132 Glendale LN
Somerset, KY 42501-1112
Phone (606) 219-1180

Other practice location 1

90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007

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

State licenses

LicenseStateTypeSpecialty
251230KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Affirmabilities Pediatric Therapy Speech-Language Pathologist CurrentSince Sep 28, 2025 Accepting new patients
Kentucky Easter Seal Society, Inc. PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1700370558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 GLENDALE LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011112",
            "telephone_number": "606-219-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RICHMOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021204",
            "telephone_number": "859-554-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Howard Dr",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658138",
            "country_code": "US",
            "telephone_number": "502-633-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "242715",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "251230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 4, 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.