Active NPI
Samantha Beck
- Speech-Language Pathologist
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 529102
- Practice address
- 2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930 - Phone
- (651) 994-9644
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 529102 | MN | Primary |
Addresses
Primary practice location
2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930
Mailing address
2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930
Other practice location 1
14635 Pennock Ave Ste 300
Apple Valley, MN 55124-6588
Phone (651) 994-9644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260612003821 | MN | Practitioner - Qualified Speech Language Pathologist | 6800368580 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2795 Pilot Knob Rd
Suite 100
Eagan, MN 55121-1176
2795 Pilot Knob Rd
Suite 100
Eagan, MN 55121-1930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529102 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapy Center, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Children'S Therapy Ctr, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
14635 Pennock Ave
Ste 300
Apple Valley, MN 55124
Phone (651) 994-9644
2795 Pilot Knob Rd
Ste 100
Saint Paul, MN 55121
Phone (651) 994-9644
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Eagan, MN
- NPI 1295809366
MN, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Apple Valley, MN
- NPI 1053450742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1093698862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 PILOT KNOB RD STE 100",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 PILOT KNOB RD STE 100",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211930",
"telephone_number": "651-994-9644"
}
],
"practiceLocations": [
{
"address_1": "14635 Pennock Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "MN",
"postal_code": "551246588",
"country_code": "US",
"telephone_number": "651-994-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECK",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "529102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.