Kayla Baldorado Wilson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010095 Issued in VA

Practice address

3000 E Marshall St
Richmond, VA 23223-7435

Phone

(703) 853-0011

NPI assigned

Sep 3, 2020

Last updated

Nov 20, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1912511106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 TULANE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263533",
            "telephone_number": "703-853-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237435",
            "telephone_number": "703-853-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232237151",
            "country_code": "US",
            "telephone_number": "703-853-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAYLA",
        "middle_name": "BALDORADO",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Allen Wilson, RD
• Kadijah Simone Wilson, MA
• Katherine Wilson, B.C.B.A.
• Katherine Albicker Wilson, LPC,
• Kathryn Wilson, LCSW
• Milo S Wilson, PHD
• Olivya Wilson, LCSW
• Pam Evans Wilson, OTR
• Qunique Wilson
• Richard William Wilson, LPC LMFT

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.