Samantha Bynum

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

11111 Biscayne Blvd Apt 312
North Miami, FL 33181-3404

Phone

(901) 246-5730

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Speech Recovery LLC

  • Speech-Language Pathologist
  • North Miami, FL
  • NPI 1821749631
  Medicare reassignment Authorized official
• Lumana Physical Therapy & Wellness Center Corp

  • Physical Therapy Clinic/Center
  • North Miami, FL
  • NPI 1720353931
  Medicare reassignment NPD
• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  Speech-Language Pathologist

  Medicare reassignment NPD
• Shelby County Board of Education

  • Local Education Agency (LEA)
  • Memphis, TN
  • NPI 1720496425
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1104227750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 BISCAYNE BLVD APT 312",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813404",
            "telephone_number": "901-246-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 BISCAYNE BLVD APT 312",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813404",
            "telephone_number": "901-246-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA13397",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton G Bush III, M.D.
• Caitlin Butler
• Regina Butler
• Laura Buval
• Akira Carla Byas, DOULA
• C & P Laboratories, Inc
• C.O.R. Injury Centers of North Miami Inc
• Dayanis Cabal, PSY.D
• Annabel Cabrera Sanchez
• Nadia B Cabrera, RBT

• Speech-Language Pathologist in North Miami, FL
• Providers in North Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.