Individual provider Active NPI

Sabrina Willis, M.S, CCC-SLP, CLC

  • Speech-Language Pathologist
  • Campbellsville, KY
National Provider Identifier
1992477822
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
265289 Issued in KY
Practice address
50 Gene Cash Rd
Campbellsville, KY 42718-4908
Phone
(270) 465-7768
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ALPP-320160 KY
Speech-Language Pathologist 235Z00000X 265289 KY Primary
Speech-Language Pathologist 235Z00000X 124815 TX

Addresses

Primary practice location

50 Gene Cash Rd
Campbellsville, KY 42718-4908

Mailing address

6682 Liberty Rd
Columbia, KY 42728-9022
Phone (361) 683-9377

Other practice location 1

128 E Main St
Post, TX 79356-3230
Phone (361) 683-9377

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

LicenseStateTypeSpecialty
ALPP-320160KYMDSpecialist
265289KYMDSpeech-Language Pathologist
124815TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1992477822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6682 LIBERTY RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427289022",
            "telephone_number": "361-683-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GENE CASH RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184908",
            "telephone_number": "270-465-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Main St",
            "address_purpose": "LOCATION",
            "city": "Post",
            "state": "TX",
            "postal_code": "793563230",
            "country_code": "US",
            "telephone_number": "361-683-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SABRINA",
        "credential": "M.S, CCC-SLP, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "ALPP-320160",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "265289",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "124815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.