Active NPI
Samantha Davis, M.S., CCC-SLP
- Speech-Language Pathologist
- Paducah, KY
National Provider Identifier
1114347176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLPLPA00193918
- Practice address
- 3227 Coleman Rd
Paducah, KY 42001-6563 - Phone
- (270) 442-6399
- Fax
- (270) 442-6300
- NPI assigned
- Apr 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 0000005002 | TN | |
| Speech-Language Pathologist | 235Z00000X | SLPLPA00193918 | KY | Primary |
Addresses
Primary practice location
3227 Coleman Rd
Paducah, KY 42001-6563
Mailing address
3227 Coleman Rd
Paducah, KY 42001-6563
Phone (270) 442-6399
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPLPA00193918 | KY | MD | Speech-Language Pathologist |
| SP 0000005002 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1114347176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3227 COLEMAN RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016563",
"telephone_number": "270-442-6399",
"fax_number": "270-442-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 COLEMAN RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016563",
"telephone_number": "270-442-6399",
"fax_number": "270-442-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SAMANTHA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP 0000005002",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "SLPLPA00193918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.