Individual provider Active NPI

Samantha Ahreum Yi

  • Speech-Language Pathologist
  • Ashburn, VA
National Provider Identifier
1013823665
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202012620 Issued in VA
Practice address
21001 Sycolin Rd Ste 220
Ashburn, VA 20147-4328
Phone
(571) 207-8680
NPI assigned
Aug 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202012620 VA Primary

Addresses

Primary practice location

21001 Sycolin Rd Ste 220
Ashburn, VA 20147-4328

Mailing address

21460 Mount Sterling Ter Unit 203
Sterling, VA 20164-9390
Phone (240) 328-3197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1013823665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21460 MOUNT STERLING TER UNIT 203",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201649390",
            "telephone_number": "240-328-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD STE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474328",
            "telephone_number": "571-207-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "SAMANTHA",
        "middle_name": "AHREUM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-22",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202012620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.