Samantha Lynn Pankau Thomas, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202006733 Issued in VA

Practice address

15300 Bowmans Folly Dr
Manassas, VA 20112-5450

Phone

(703) 583-8774

NPI assigned

May 7, 2018

Last updated

May 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1164911020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15694 BEACON CT",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251830",
            "telephone_number": "847-894-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 BOWMANS FOLLY DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201125450",
            "telephone_number": "703-583-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN PANKAU",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte April Thomas, AGACNP-BC
• Christina Marie Thomas
• Jo Ann Elizabeth Thomas, LPC, LMFT
• Joan Thomas, LCSW
• Nicholas James Thomas, LCSW
• Sydnee Kristen Thomas, MS, BCBA, LBA
• Verniqueca Thomas, LPC
• Anansa Thompson
• Ja'Nelle Thompson, CD/PCD (DONA)
• Jean Lynette Thompson, LCSW

• Speech-Language Pathologist in Manassas, VA
• Providers in Manassas, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.