Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Shannon Wilson, PHD

Individual provider Psychologist · NPI 1316091119

Kimberly Shannon Wilson, PHD is a Clinical Psychologist in Knoxville, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
25
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5401 Kingston Pike Ste 170
Knoxville, TN 37919-5022
Phone: (865) 584-4005
Fax: (865) 584-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence P0000002498 (TN)

Record details

NPI number1316091119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 17, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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