Samantha Marie Nicholson, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI6429 Issued in FL

Practice address

756 N Sun Dr
Lake Mary, FL 32746-2507

Phone

(407) 904-0132

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1154107381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N SUN DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462507",
            "telephone_number": "407-904-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N SUN DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462507",
            "telephone_number": "407-904-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nguyen
• Minh Duc Nguyen, M.D.
• Thu T Nguyen, PHARMD
• Thu-Minh Nguyen, PA-C
• NH Pharma
• Fedine Nicolas
• Sara Nicole Nicolini, OTR/L
• Krysta B Nieves
• Patricia Nino de Guzman Roach, DDS
• Lester Clinton Nix III, LCSW

• Speech-Language Assistant in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.