Individual provider Active NPI

Melinda Claire Campbell, MA, CCC-SLP

  • Speech-Language Pathologist
  • Mount Juliet, TN
National Provider Identifier
1407482904
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4409 Issued in TN
Practice address
1201 Cannon LN
Mount Juliet, TN 37122-6146
Phone
(615) 714-3455
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10480 MD
Speech-Language Pathologist 235Z00000X S5287 MS
Speech-Language Pathologist 235Z00000X 18810 OR
Speech-Language Pathologist 235Z00000X 4409 TN Primary
Speech-Language Pathologist 235Z00000X SP41386 CA

Addresses

Primary practice location

1201 Cannon LN
Mount Juliet, TN 37122-6146

Mailing address

1201 Cannon LN
Mount Juliet, TN 37122-6146
Phone (615) 714-3455

Other identifiers 1

IdentifierTypeStateIssuer
267140900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200811002524 TN Practitioner - Qualified Speech Language Pathologist 8729404546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP41386CAMDSpeech-Language Pathologist
10480MDMDSpeech-Language Pathologist
S5287MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kdpctn CurrentSince May 7, 2025 Accepting new patients
Vanderbilt University Past Accepting new patients
Vanderbilt University PastSince Aug 4, 2020 Accepting new patients

Locations

3901 Central Pike
Ste 500
Hermitage, TN 37076
Phone (502) 792-0236

Organizations & group practices 3

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1407482904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CANNON LN",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226146",
            "telephone_number": "615-714-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CANNON LN",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226146",
            "telephone_number": "615-714-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MELINDA",
        "middle_name": "CLAIRE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10480",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S5287",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "18810",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4409",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP41386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267140900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.