Samantha Jo Furlet, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0003011 Issued in CO

Practice address

1931 65TH Ave Ste C
Greeley, CO 80634-7946

Phone

(970) 702-2507

NPI assigned

Sep 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Sevedge Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Speech Therapy LLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Therapy Group LLC

  • Speech-Language Pathologist
  • Timnath, CO
  • NPI 1902488018

  CO, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Summit Therapy Group LLC

  • Speech-Language Pathologist
  • Fort Collins, CO
  • NPI 1083484232
  NPD
• Summit Therapy Group LLC

  • Speech-Language Pathologist
  • Greeley, CO
  • NPI 1437782729
  NPD (past)

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1013466689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 PLATTE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266406",
            "telephone_number": "509-553-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 65TH AVE STE C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347946",
            "telephone_number": "970-702-2507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Royal Vista Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805289321",
            "country_code": "US",
            "telephone_number": "970-682-3743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURLET",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0003011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.furlet@summitspeechteam.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1931 65th Ave Ste C",
            "city": "Greeley",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806347946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SEVEDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Greeley, CO
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.