Active NPI
Kayla Mitchell
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1376424598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003953
- Practice address
- 2346 Barrington Cir
Fayetteville, NC 28303-4284 - Phone
- (843) 406-5357
- NPI assigned
- Sep 12, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30003015 | NC | |
| Speech-Language Pathologist | 235Z00000X | 30003953 | NC | Primary |
Addresses
Primary practice location
2346 Barrington Cir
Fayetteville, NC 28303-4284
Mailing address
851 Scotch Hall Way Apt 201
Fayetteville, NC 28303-4896
Phone (843) 406-5357
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30003015 | NC | MD | Speech-Language Pathologist |
| 30003953 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1376424598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 SCOTCH HALL WAY APT 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034896",
"telephone_number": "843-406-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2346 BARRINGTON CIR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034284",
"telephone_number": "843-406-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-12",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003015",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.