Individual provider Active NPI

Karen Waddill

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1992551485
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30001686 Issued in NC
Practice address
7017 Albert Pick Rd Ste D
Greensboro, NC 27409-9534
Phone
(336) 209-4799
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30001686 NC Primary
Speech-Language Pathologist 235Z00000X SLP5142 MA

Addresses

Primary practice location

7017 Albert Pick Rd Ste D
Greensboro, NC 27409-9534

Mailing address

6173 Glen Way Dr
Winston Salem, NC 27107-3786
Phone (978) 460-1543

Other practice location 1

426 Gallimore Dairy Rd
Greensboro, NC 27409-9547
Phone (336) 209-4799

Other identifiers 1

IdentifierTypeStateIssuer
1598168346MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
SLP5142MAMDSpeech-Language Pathologist
30001686NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1992551485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6173 GLEN WAY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271073786",
            "telephone_number": "978-460-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 ALBERT PICK RD STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099534",
            "telephone_number": "336-209-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Gallimore Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274099547",
            "country_code": "US",
            "telephone_number": "336-209-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDILL",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001686",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP5142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598168346",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

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