Active NPI
Jessica Free, MS CCC-SLP
- Speech-Language Pathologist
- Knightdale, NC
National Provider Identifier
1174062954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003767
- Practice address
- 7048 Knightdale Blvd Ste 220C
Knightdale, NC 27545-8894 - Phone
- (919) 454-6610
- Fax
- (919) 882-8597
- NPI assigned
- Feb 14, 2017
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10353 | MD | |
| Speech-Language Pathologist | 235Z00000X | SLP.0004287 | CO | |
| Speech-Language Pathologist | 235Z00000X | SLP009446 | GA | |
| Speech-Language Pathologist | 235Z00000X | 30003767 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 123115 | TX | |
| Speech-Language Pathologist | 235Z00000X | SP39735 | CA | |
| Speech-Language Pathologist | 235Z00000X | 162197 | AK |
Addresses
Primary practice location
7048 Knightdale Blvd Ste 220C
Knightdale, NC 27545-8894
Mailing address
7048 Knightdale Blvd Ste 220C
Knightdale, NC 27545-8894
Phone (919) 454-6610
Other practice location 1
2601 Parkwood Dr
Suite E
Brunswick, GA 31520-4758
Phone (912) 996-2069
Other practice location 2
100 E Pratt St
Baltimore, MD 21202-1009
Phone (855) 485-8732
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 |
|---|---|---|---|
| 162197 | AK | MD | Speech-Language Pathologist |
| SP39735 | CA | MD | Speech-Language Pathologist |
| SLP.0004287 | CO | MD | Speech-Language Pathologist |
| SLP009446 | GA | MD | Speech-Language Pathologist |
| 10353 | MD | MD | Speech-Language Pathologist |
| 30003767 | NC | MD | Speech-Language Pathologist |
| 123115 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1174062954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7048 KNIGHTDALE BLVD STE 220C",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458894",
"telephone_number": "919-454-6610",
"fax_number": "919-882-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7048 KNIGHTDALE BLVD STE 220C",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275458894",
"telephone_number": "919-454-6610",
"fax_number": "919-882-8597"
}
],
"practiceLocations": [
{
"address_1": "2601 Parkwood Dr",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "GA",
"postal_code": "315204758",
"country_code": "US",
"telephone_number": "912-996-2069",
"fax_number": "912-265-0041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Pratt St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212021009",
"country_code": "US",
"telephone_number": "855-485-8732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREE",
"first_name": "JESSICA",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "10353",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0004287",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP009446",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003767",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "123115",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP39735",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "162197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
- Flow Billing & Consulting Services
- Tomesha Chimere' Flow
- Eintou Ford
- Forefront Dermatology, S.C. (Laing Dermatology, A Forefront Dermatology Practice)
- Tara Forsythe
- Peter Friesen, DPT
- Ariqua Furse
- Ga HC Reit II Knightdale Alf TRS Sub, LLC (TerraBella Knightdale)
- Gaben (Knightdale Pharmacy)
- Gaben (Knightdale Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.