Individual provider Active NPI

Kimberly A Baradei, SLP

  • Speech-Language Pathologist
  • Wake Forest, NC
National Provider Identifier
1316277452
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
15561 Issued in NC
Practice address
1764 Heritage Center Dr Ste 201
Wake Forest, NC 27587-4092
Phone
(908) 892-3492
Fax
(908) 895-8985
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 15561 NC Primary
Speech-Language Pathologist 235Z00000X 41YS00540400 NJ

Addresses

Primary practice location

1764 Heritage Center Dr Ste 201
Wake Forest, NC 27587-4092

Mailing address

1764 Heritage Center Dr Ste 201
Wake Forest, NC 27587-4092
Phone (908) 892-3492

Other names 1

  • Kimberly A Kasica Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100308000694 NJ Practitioner - Qualified Speech Language Pathologist 2961547492 Reassigns benefits to 1 organization
I20221129001972 NC Practitioner - Qualified Speech Language Pathologist 2961547492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Speech ServicesGroup PAC ID 9830513621, 2 clinicians

Practice addresses (Care Compare)

1764 Heritage Ctr Dr
Suite 201
Wake Forest, NC 27587-4092
Phone (908) 892-3492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1316277452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 HERITAGE CENTER DR STE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874092",
            "telephone_number": "908-892-3492",
            "fax_number": "908-892-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 HERITAGE CENTER DR STE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874092",
            "telephone_number": "908-892-3492",
            "fax_number": "908-895-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARADEI",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "15561",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00540400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KASICA",
            "middle_name": "A",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.