Individual provider Active NPI

Bridget Ellen Campbell, CCC,SLP

  • Speech-Language Pathologist
  • Glasgow, KY
National Provider Identifier
1700456332
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-2933 Issued in KY
Practice address
102 W Front St
Glasgow, KY 42141-2804
Phone
(270) 590-2875
Fax
(888) 494-1640
NPI assigned
Jun 27, 2021
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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 KY-2933 KY Primary

Addresses

Primary practice location

102 W Front St
Glasgow, KY 42141-2804

Mailing address

102 W Front St
Glasgow, KY 42141-2804
Phone (270) 590-2875

Other names 1

  • Bridget Ellen Williams Former name

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

LicenseStateTypeSpecialty
KY-2933KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Perri Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Cardinal Behavioral Health PLLC Single Specialty PastSince Jul 4, 2021 Accepting new patients

Locations

102 W Front St
Glasgow, KY 42141
Phone (270) 202-8669

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1700456332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W FRONT ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412804",
            "telephone_number": "270-590-2875",
            "fax_number": "888-494-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W FRONT ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412804",
            "telephone_number": "270-590-2875",
            "fax_number": "888-494-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRIDGET",
        "middle_name": "ELLEN",
        "credential": "CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "WILLIAMS",
            "middle_name": "ELLEN",
            "credential": "CCC,SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.