KIMBERLY SHANNON WILSON (NPI# 1316091119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316091119 |
| Entity Type | Individual |
| Full Name | KIMBERLY SHANNON WILSON |
| Credential | PHD |
| Practice Address |
5401 Kingston Pike Ste 170 Knoxville TN 37919-5022 |
| Mailing Address |
813 S Northshore Dr Ste 105 Knoxville TN 37919-7594 |
| Practice Telephone | 8655844005 |
| Practice Fax Number | 8655845551 |
| Mailing Telephone | 8655844005 |
| Mailing Fax Number | 8655845551 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P0000002498 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3983201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1265905038 | Kimberly Ann Wilson | Speech-Language Pathologist | 658 Lions Gate Ln, Odenton, MD 21113-1490 | 2019-01-04 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| Street Address |
5401 KINGSTON PIKE STE 170 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253305 | Camille S Smith | Social Worker | 5401 Kingston Pike, Suite 420, Knoxville, TN 37919-5022 | 2005-08-26 |
| 1013277813 | Accuquest Hearing Centers | Clinic/Center | 5401 Kingston Pike, Suite 410, Knoxville, TN 37919-5022 | 2012-05-25 |
| 1619236486 | James F. Murray, Ph.d., P.C. | Psychologist | 5401 Kingston Pike, Suite 280, Knoxville, TN 37919-5022 | 2012-05-14 |
| 1942535562 | Sabine Scoggins | Counselor | 5401 Kingston Pike, Suite 400, Knoxville, TN 37919-5022 | 2009-10-15 |
| 1972634434 | Jeffrey Whitney Erickson Phd. P.C. | Psychologist | 5401 Kingston Pike, Suite 280, Knoxville, TN 37919-5022 | 2007-03-08 |
| 1861532277 | James F Murray | Psychologist | 5401 Kingston Pike, Ste 280, Knoxville, TN 37919 | 2007-02-07 |
| 1558412007 | Bobbie Lynn Mccue | Audiologist | 5401 Kingston Pike, Suite 410, Knoxville, TN 37919-5022 | 2007-01-12 |
| 1912056409 | Elsbeth Freeman | Psychologist | 5401 Kingston Pike, Suite 410, Knoxville, TN 37919-5022 | 2007-01-10 |
| 1326100975 | Helen Smith | Psychologist | 5401 Kingston Pike, 285, Knoxville, TN 37919-5022 | 2006-12-13 |
| 1629139019 | Ronda Redden Reitz | Psychologist | 5401 Kingston Pike, #410, Knoxville, TN 37919-5022 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843168 | Frank Harrill Pittenger | Psychologist | 5401 Kingston Pike Ste 420, Knoxville, TN 37919-5004 | 2019-04-22 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| 1265978936 | Stephanie Spencer Carroll | Psychologist | 340 Suburban Rd, Knoxville, TN 37923-5800 | 2017-01-18 |
| 1376099689 | Victor Wood Barr | Psychologist | 1904 Grenada Blvd, Knoxville, TN 37922-6316 | 2016-08-27 |
| 1780939108 | Kevin Clark Blanton | Psychologist | 4006 Sutherland Ave, Knoxville, TN 37919-5103 | 2012-07-23 |
| 1508166869 | Janet Beth Winn | Psychologist | 1521 Armiger Ln, Knoxville, TN 37932-2488 | 2010-11-02 |
| 1881901361 | Jaima Elizabeth Walton | Psychologist | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4720 | 2010-09-07 |
| 1902041791 | Psychoeducational Network | Psychologist | 7417 Kingston Pike Ste 103, Knoxville, TN 37919-5616 | 2008-12-08 |
| 1104080795 | Frances Lee Palin | Psychologist | 5410 Homberg Dr Ste 22a, Knoxville, TN 37919-5029 | 2008-07-14 |
| 1831377753 | Summers Kimbrough Mcmurray | Psychologist | 325 Ebeneezer Rd, Knoxville, TN 37923 | 2008-02-01 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on KIMBERLY SHANNON WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.