Individual provider Active NPI

Katherine Campagna, M.A., CF-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1508473018
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02185L Issued in MD
Practice address
2601 Tolley St
Baltimore, MD 21230-1534
Phone
(410) 396-3426
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02185L MD Primary

Addresses

Primary practice location

2601 Tolley St
Baltimore, MD 21230-1534

Mailing address

7521 Blair Rd Apt 104
Takoma Park, MD 20912-4023
Phone (860) 471-2591

Other practice location 1

1235 Sherwood Ave
Baltimore, MD 21239-2223
Phone (410) 396-6380

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

LicenseStateTypeSpecialty
02185LMDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1508473018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 BLAIR RD APT 104",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124023",
            "telephone_number": "860-471-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 TOLLEY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212301534",
            "telephone_number": "410-396-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Sherwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392223",
            "country_code": "US",
            "telephone_number": "410-396-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "M.A., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02185L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.