Individual provider Active NPI

Cassandra Renee-Newton Smith, MS, CCC-SLP

  • Speech-Language Pathologist
  • Kannapolis, NC
National Provider Identifier
1053004424
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14907 Issued in NC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14907NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lively Therapy Services Speech-Language Pathologist CurrentSince Mar 11, 2025 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.

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.

Verify at the official NPI Registry.