Individual provider Active NPI

Kathryn Elizabeth Campbell

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1689420341
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003557 Issued in NC
Practice address
5301 Creedmoor Rd
Raleigh, NC 27612-3822
Phone
(919) 615-1658
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 30003557 NC Primary

Addresses

Primary practice location

5301 Creedmoor Rd
Raleigh, NC 27612-3822

Mailing address

6800 Chesterbrook CT Apt 304
Raleigh, NC 27615-7816

Other practice location 1

7900 Creedmoor Rd
Raleigh, NC 27613-4382
Phone (919) 848-2233

Other practice location 2

1500 Sawmill Rd
Raleigh, NC 27615-4320
Phone (919) 651-4844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904002760 NC Practitioner - Qualified Speech Language Pathologist 9638619778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30003557NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients

Locations

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

5301 Creedmoor Rd
Raleigh, NC 27612
Phone (919) 256-0824

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

1500 Sawmill Rd
Raleigh, NC 27615
Phone (919) 848-7000

Organizations & group practices 2

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1689420341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 CHESTERBROOK CT APT 304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123822",
            "telephone_number": "919-615-1658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Creedmoor Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276134382",
            "country_code": "US",
            "telephone_number": "919-848-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sawmill Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154320",
            "country_code": "US",
            "telephone_number": "919-651-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.