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AUTUMN BROOKE CAMPBELL SLPA
NPI 1619275872
Specialist/Technologist - Speech-Language Assistant in Fort Worth, TX

Active since March 11, 2011
5316 TRAIL LAKE DR, FORT WORTH, TX 76133(817) 292-8787(817) 789-6849 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Autumn Brooke Campbell Slpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN BROOKE CAMPBELL SLPA (NPI 1619275872) is an individual speech-language assistant in Fort Worth, Texas, licensed in Texas (34684) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1619275872
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameAUTUMN BROOKE CAMPBELLCredential: SLPA
Location Address5316 TRAIL LAKE DRFort Worth, TX 76133-1931
Mailing Address5316 Trail Lake DrFort Worth, TX 76133-1931 · (817) 292-8787 · Fax (817) 789-6849
Phone(817) 292-8787
Fax(817) 789-6849
Sole ProprietorYes
Enumeration DateMarch 11, 2011
Last NPPES UpdateMarch 15, 2011
✔ NPI 1619275872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in TX · 34684
5316 TRAIL LAKE DR, Fort Worth, TX 76133
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Other Identifiers 4

Medicaid207164901TX
Medicare PIN456606TX
Medicare PIN676535TX
Medicaid149984001TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY CHRISTINA ANDREWS
Occupational Therapist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
SUSAN SHELTON LITTRELL
Speech-Language Pathologist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
LACEY JO HOPE
Physical Therapist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
SALLY SUZANNE OLDFIELD OT
Occupational Therapist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
JERICA LEE TYLER
Speech-Language Pathologist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
ERIKA ELIZABETH WITHERS
Speech-Language Pathologist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
LINDSAY LIEBREICH PARKER
Speech-Language Pathologist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787
CAROLYN MOORE MOHAIR OT
Occupational Therapist
5316 TRAIL LAKE DR
FORT WORTH, TX 76133
Tarrant County (817) 292-8787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Campbell's NPI number?

The NPI number for Autumn Campbell is 1619275872. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Where is Autumn Campbell located?

Autumn Campbell practices at 5316 Trail Lake Dr, Fort Worth, TX 76133. The listed phone number is (817) 292-8787.

What is Autumn Campbell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Autumn Campbell was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.