Individual provider Active NPI

Cordie Lee Samford, MS

  • Speech-Language Pathologist
  • Karnes City, TX
National Provider Identifier
1114274552
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106626 Issued in TX
Practice address
221 N Esplanade St
Karnes City, TX 78118-2919
Phone
(210) 618-9017
NPI assigned
Aug 3, 2012
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 106626 TX Primary

Addresses

Primary practice location

221 N Esplanade St
Karnes City, TX 78118-2919

Mailing address

127 Nottingham LN Unit 2
Kenedy, TX 78119-2212
Phone (210) 618-9017

Other practice location 1

601 Crockett St
Refugio, TX 78377-1815
Phone (210) 618-9017

Other names 1

  • Cordie Lee Marrou Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
106626TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1114274552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 NOTTINGHAM LN UNIT 2",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781192212",
            "telephone_number": "210-618-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N ESPLANADE ST",
            "city": "KARNES CITY",
            "state": "TX",
            "postal_code": "781182919",
            "telephone_number": "210-618-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Crockett St",
            "address_purpose": "LOCATION",
            "city": "Refugio",
            "state": "TX",
            "postal_code": "783771815",
            "country_code": "US",
            "telephone_number": "210-618-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMFORD",
        "first_name": "CORDIE",
        "middle_name": "LEE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORDIE",
            "last_name": "MARROU",
            "middle_name": "LEE",
            "credential": "MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Karnes City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.