Samantha Ford

Individual provider Active NPI Registered Respiratory Therapist · Livingston, TN

NPI 1104786243 · NPPES record last updated Nov 12, 2025

Key facts

NPI
1104786243
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
5954 (TN)
Practice address
102 W Court SQ
Livingston, TN 38570-1882
Phone
(833) 887-2919
Fax
(615) 691-7141
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5954TNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 5954 TN Yes

Addresses

Primary practice location

102 W Court SQ
Livingston, TN 38570-1882

Mailing address

102 W Court SQ
Livingston, TN 38570-1882
Phone (833) 887-2919

Other providers in Livingston, TN

All providers in Livingston, TN · Registered Respiratory Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.