Samantha R Valdes, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA14489 Issued in AZ

Practice address

1880 West University Ave
Flagstaff, AZ 86001

Phone

(928) 226-1563

Fax

(928) 526-0158

NPI assigned

Oct 24, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1104698018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W UNIVERSITY AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017159",
            "telephone_number": "928-853-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 WEST UNIVERSITY AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-226-1563",
            "fax_number": "928-526-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urgent Care Northern Arizona Healthcare LLC
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• Alisa Vadasz
• Richard R Valdes, FNP
• Sean Michael Valentine, PA-C
• Illianna Valenzuela Figueroa
• Yari Valle, PHARM D
• Stacey Vallespir, LMT
• Diane Margaret Van Cornewal, LCSW LISAC

• Speech-Language Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.