Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Andre

Individual provider Speech-Language Pathologist · NPI 1144065822

Katelyn Andre is a Qualified Speech Language Pathologist in Wake Forest, North Carolina. Qualified in 2024, 2 years ago. Practices with Peak Performance Sports and Physical Therapy LLC, a 61-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

900 S Franklin St Ste 201
Wake Forest, NC 27587-2799
Phone: (919) 556-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30003870 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1144065822
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peak Performance Sports And Physical Therapy Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wake Forest