Active NPI
Kaitlyn E Wyche, MA, CCC-SLP
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1295228690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30001660
- Practice address
- 8300 Health Park Ste 325
Raleigh, NC 27615-4731 - Phone
- (919) 747-9022
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 30001660 | NC | Primary |
Addresses
Primary practice location
8300 Health Park Ste 325
Raleigh, NC 27615-4731
Mailing address
8300 Health Park Ste 325
Raleigh, NC 27615-4731
Other names 1
- Kaitlyn Laco
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30001660 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County School District Re1 | Current | Accepting new patients | |
| Amy Black-Ryel Speech Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Castle Rock, CO
- NPI 1184701351
-
- Hearing and Speech Clinic/Center
- Aurora, CO
- NPI 1871017780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1295228690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 HEALTH PARK STE 325",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 HEALTH PARK STE 325",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154731",
"telephone_number": "919-747-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCHE",
"first_name": "KAITLYN",
"middle_name": "E",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30001660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "LACO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.