Active NPI
Samantha A Sawyer, M.A., CCC-SLP
- Speech-Language Pathologist
- Saint Paul, MN
National Provider Identifier
1124282173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8366
- Practice address
- 1111 Elway St Apt 504
Saint Paul, MN 55116-3236 - Phone
- (651) 785-3059
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8366 | MN | Primary |
Addresses
Primary practice location
1111 Elway St Apt 504
Saint Paul, MN 55116-3236
Mailing address
1111 Elway St Apt 504
Saint Paul, MN 55116-3236
Phone (651) 785-3059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124282173 | Other | MN | N/A |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8366 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightening Connections LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Saint Paul, MN
- NPI 1053650374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1124282173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 ELWAY ST APT 504",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163236",
"telephone_number": "651-785-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ELWAY ST APT 504",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551163236",
"telephone_number": "651-785-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWYER",
"first_name": "SAMANTHA",
"middle_name": "A",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1124282173",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.