Active NPI
Megan Campnell
- Speech-Language Pathologist
- Johnson Creek, WI
National Provider Identifier
1629560974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 814100
- Practice address
- 455 Aztalan Street
Johnson Creek, WI 53038 - Phone
- (920) 541-4800
- NPI assigned
- Jun 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 814100 | WI | Primary |
| Speech-Language Pathologist | 235Z00000X | 4662-154 | WI |
Addresses
Primary practice location
455 Aztalan Street
Johnson Creek, WI 53038
Mailing address
455 Aztalan Street
Johnson Creek, WI 53038
Phone (920) 541-4800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4662-154 | WI | MD | Speech-Language Pathologist |
| 814100 | WI | MD | Speech-Language Pathologist |
| 4662 | WI | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1629560974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 AZTALAN STREET",
"city": "JOHNSON CREEK",
"state": "WI",
"postal_code": "53038",
"telephone_number": "920-541-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 AZTALAN STREET",
"city": "JOHNSON CREEK",
"state": "WI",
"postal_code": "53038",
"telephone_number": "920-541-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPNELL",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-02",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "814100",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4662-154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.