Samantha Fantin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4524 N Windsor Dr
Spokane, WA 99205-2052

Phone

(509) 903-5483

NPI assigned

Mar 31, 2020

Reactivated

Jul 14, 2020

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Speak Volumes PLLC

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1063192920
  NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1154959484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 N WINDSOR DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052052",
            "telephone_number": "509-903-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 N WINDSOR DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052052",
            "telephone_number": "509-903-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTIN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "deactivation_date": "2020-04-02",
        "reactivation_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "SI61064749",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP",
            "identifier": "1154959484",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Counseling Northwest
• Family First Services LLC
• Family Impact Network
• Terese M Fandel, MD
• Hannah Fant, MS SLP CF
• Kimberly Faria, GC
• Joey Dean Faris
• Rachel Farkas, LMHCA
• Debbie Farmer, LMP
• Jamie Lei Farmer, CPC

• Speech-Language Pathologist in Spokane, WA
• Providers in Spokane, 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 Jul 24, 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.