Active NPI
Camille Suzanne Spain, MS, CCC-SLP
- Speech-Language Pathologist
- Roanoke, VA
National Provider Identifier
1871286799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2204001153
- Practice address
- 1315 2ND St SW
Roanoke, VA 24016-4944 - Phone
- (540) 982-2208
- NPI assigned
- May 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2204001153 | VA | Primary |
Addresses
Primary practice location
1315 2ND St SW
Roanoke, VA 24016-4944
Mailing address
16 Old Woods Ave SE Apt 501
Roanoke, VA 24016-1434
Phone (703) 894-7895
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2204001153 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1871286799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 OLD WOODS AVE SE APT 501",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240161434",
"telephone_number": "703-894-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 2ND ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164944",
"telephone_number": "540-982-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "CAMILLE",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2204001153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
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- Southwest Virginia Nephrology Medicine, PC
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- Ann B Sowers, M.D.
- Steven E. Sowers, D.D.S.
- Angel U Spangler, COTA
- Gwendolyn Williams Spangler, NP-C
- Patricia G Spangler
- Sarah Elizabeth Spangler, OD
- Sarah Jessica Spano-List, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.