Samantha Michelle-Moody McWeeney, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60898338 Issued in WA

Practice address

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4939

Phone

(253) 968-2252

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Samantha M. Moody Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Praactical Communication Speech Therapy Clinic PLLC

  • Speech-Language Pathologist
  • Bremerton, WA
  • NPI 1285511766

  Single Specialty

  NPD Authorized official
• Centralia School District #401

  • Local Education Agency (LEA)
  • Centralia, WA
  • NPI 1750310405
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1124545777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 NW DRAGONSTONE ST",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113502",
            "telephone_number": "360-819-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984314939",
            "telephone_number": "253-968-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 NW Dragonstone St",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983113502",
            "country_code": "US",
            "telephone_number": "360-819-9844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 NW Dragonstone St",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983113502",
            "country_code": "US",
            "telephone_number": "360-819-9844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11920 Seminole Rd SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984994939",
            "country_code": "US",
            "telephone_number": "360-819-9844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWEENEY",
        "first_name": "SAMANTHA",
        "middle_name": "MICHELLE-MOODY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60898338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MOODY",
            "middle_name": "M.",
            "credential": "M.S, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan L McReynolds, R.D., C.D., C.D.E.
• Nevin Olyen McSpadden, MA
• Tomi L McVay, S.T.
• Patrick J McVeigh, D.C.
• Joy McWade, RN
• Randall McZegle
• MD Therapy & Massage LLC
• Nicole A Meacham, CDPT
• Crystal Lyn Meachem, BSN, RN
• Debra Mead

• Speech-Language Pathologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.