Camille Blue Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13277 Issued in NC

Practice address

113 S Railroad Ave
Dunn, NC 28334-4853

Phone

(910) 891-1599

NPI assigned

Apr 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trinity Rehab LLC

  • Rehabilitation Clinic/Center
  • Dunn, NC
  • NPI 1366782864
  NPD

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1073308169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 WADE STEPHENSON RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407935",
            "telephone_number": "919-215-6357",
            "fax_number": "919-215-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S RAILROAD AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344853",
            "telephone_number": "910-891-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMILLE",
        "middle_name": "BLUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13277",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2203000965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thurmond Eric Siceloff, DPM
• Pryia Simmons, MD
• Shantanu Singh, M.D.
• Patricia Yabes Skulavik, PA
• Evelyn Patrick Slee, D.O.
• Clifton Curtis Smith
• Lori Ann Sneeringer, PTA
• Southeastern Medical Center, P.C.
• Southeastern Speciality Clinic
• Southmountain Children and Family Services

• Speech-Language Pathologist in Dunn, NC
• Providers in Dunn, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.