Kimber Wilson

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

99-1725002 Issued in TN

Practice address

3540 Summer Ave Ste 405
Memphis, TN 38122-3633

Phone

(901) 896-9626

NPI assigned

Apr 29, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Practice roles

Locations

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.

• Legacy Express Transportation

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
  • NPI 1053267047
  NPD Authorized official
• Legacy of Memphis Homecare Corporation

  • Home Health Agency
  • Memphis, TN
  • NPI 1558154906
  NPD

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1740078757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SUMMER AVE STE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223633",
            "telephone_number": "901-896-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SUMMER AVE STE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381223633",
            "telephone_number": "901-896-9626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 Summer Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381223633",
            "country_code": "US",
            "telephone_number": "901-896-9626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIMBER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TN",
            "license": "99-1725002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joi Venice Wilson, M.D.
• Joshua D Wilson, MD
• Karen Y Wilson
• Kayla Wilson, OTR/L
• Keadrea Wilson
• Kimberly T Wilson, C-NP
• Lawrence Edward Wilson, NACAII, LADACII,
• Lee Eugene Wilson, D.D.S.
• Luke Wilson
• Madison Wilson, BSW

• Home Health Aide in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.