Sara Jung Campbell, M.S. CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00002770 Issued in WA

Practice address

9951 Mickelberry Rd NW
Ste 127
Silverdale, WA 98383-8309

Phone

(360) 692-2404

Fax

(360) 692-2406

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kitsap Children's Speech Therapy

  • Speech-Language Pathologist
  • Silverdale, WA
  • NPI 1740548395
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1528117058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "STE 127",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-692-2404",
            "fax_number": "360-692-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "STE 127",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-692-2404",
            "fax_number": "360-692-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SARA",
        "middle_name": "JUNG",
        "credential": "M.S. CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley K Button, DC
• Lynn Marie Caires
• Brianna Margo Calkin, LMP
• Jennifer Calvin Myers, LICSW
• Kyleen Alane Campbell, LMP
• Julie Canterbury, MA
• Mary Anne Cantu, MA 617404565
• Yen Thi Kim Hong Cao, MD
• Jerome Emile Carbone, M.D.
• Tiffany M Cardinal, MD

• Speech-Language Pathologist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.