Kaitlin Nicole Campbell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119543 Issued in TX

Practice address

10317 US Highway 259
Nacogdoches, TX 75965-0815

Phone

(936) 552-3404

NPI assigned

Jun 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kaicampbell@greenappletherapy.com

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.

• Central Heights Isd

  • Local Education Agency (LEA)
  • Nacogdoches, TX
  • NPI 1487796306
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1033848098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26217 FM 139",
            "city": "SHELBYVILLE",
            "state": "TX",
            "postal_code": "759733784",
            "telephone_number": "936-488-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10317 US HIGHWAY 259",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759650815",
            "telephone_number": "936-552-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KAITLIN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KaiCampbell@greenappletherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 E Ferguson St",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757025759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betty Caldwell, RN
• Thresa Annette Caldwell, M.A., LBSW
• Deanna Calhoun
• Shelbie C Calk Greenville, MS, RDN, LD
• Mary Beth Calme, M.D.
• Rodney Kent Cannaday, CRNA
• Andrew Stuart Cannon
• Eduardo Enrique Cantu, PA
• Jennifer Cantu, LPC
• Jose I Carbajal, PHD, LCSW

• Speech-Language Pathologist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.