Active NPI
Cassandra Renee-Newton Smith, MS, CCC-SLP
- Speech-Language Pathologist
- Kannapolis, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14907
- Practice address
- 1401 S Ridge Ave
Kannapolis, NC 28083-6056 - Phone
- (980) 242-0690
- Fax
- (980) 236-9380
- NPI assigned
- May 31, 2023
- Last updated
- Jan 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14907 | NC | Primary |
Addresses
Primary practice location
1401 S Ridge Ave
Kannapolis, NC 28083-6056
Mailing address
PO Box 248
Kannapolis, NC 28082-0248
Phone (980) 242-0690
Other practice location 1
2319 Concord Lake Rd
Concord, NC 28025-2813
Phone (980) 242-0690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14907 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lively Therapy Services | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2319 Concord Lake Rd
Concord, NC 28025
Phone (980) 242-0690
1401 S Ridge Ave
Kannapolis, NC 28083
Phone (980) 242-0690
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Kannapolis, NC
- NPI 1134713019
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1053004424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 248",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280820248",
"telephone_number": "980-242-0690",
"fax_number": "980-236-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S RIDGE AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836056",
"telephone_number": "980-242-0690",
"fax_number": "980-236-9380"
}
],
"practiceLocations": [
{
"address_1": "2319 Concord Lake Rd",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252813",
"country_code": "US",
"telephone_number": "980-242-0690",
"fax_number": "980-236-9380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CASSANDRA",
"middle_name": "RENEE-NEWTON",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.