Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669774543 Individual Practitioner Male Practitioner

Keith Warren Weigold , MS, CCC-SLP

Speech-Language Pathologist • Kingsport, TN

Professional Overview & Biography Verified Profile Summary

Keith Weigold, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kingsport, TN. Practice services are available at 100 NETHERLAND LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Netherland Ln

Kingsport, TN 376607245

Telephone 4234388641
Associated Practice Facility / Clinic
🏢 Asbury, Inc. Facility NPI 1073671707

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kingsport, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Kingsport, TN (3778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TN 4200

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NC 13461

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1669774543 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Makaylah Darnell , DPT

Physical Therapist

NPI 1003440777

Doctor of Physical Therapy

Stephen Hurley

Physical Therapy Assistant

NPI 1154894459
Beverly Bailey , MS, CCC-SLP

Speech-Language Pathologist

NPI 1205936036

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Angie Calhoun

Occupational Therapy Assistant

NPI 1316410723
Dr. Kelsey Lowry , DPT

Physical Therapist

NPI 1316410988

Doctor of Physical Therapy

Calle Pisk , RDN

Dietitian, Registered

NPI 1376159814

Registered Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2019

Speech-Language Pathologist (License #13461 in NC)

📍
Updated Practice Location January 18, 2019

Registered at 100 NETHERLAND LN, KINGSPORT, TN 376607245 (Tel: 4234388641)

📍
Updated Business Mailing Address January 18, 2019

Registered at 345 OASIS RD, BULLS GAP, TN 377112045 (Tel: 4234388641)

NPI Profile Active May 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2012

Registered at 3011 BACK STRETCH BLVD, INDIAN TRAIL, NC 280795748 (Tel: 6155876036)

📍
Updated Business Mailing Address May 28, 2012

Registered at 3011 BACK STRETCH BLVD, INDIAN TRAIL, NC 280795748 (Tel: 6155876036)

👤
Provider Name / Credentials Updated May 28, 2012

Recorded as KEITH WEIGOLD, MS., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2012

Speech-Language Pathologist (License #9832 in NC)

🟢
Initial NPI Registration & Enumeration November 24, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669774543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2010
Last Update: April 23, 2019
Sole Proprietor: Yes

Mailing Address

345 Oasis Rd

Bulls Gap, TN 377112045

Phone: 4234388641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.