Individual provider Active NPI

Samantha Jai Jaekel, M.S., CF-SLP

  • Speech-Language Pathologist
  • Georgetown, TX
National Provider Identifier
1174243885
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118262 Issued in TX
Practice address
507 E University Ave
Georgetown, TX 78626-6826
Phone
(512) 943-5000
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 118262 TX Primary

Addresses

Primary practice location

507 E University Ave
Georgetown, TX 78626-6826

Mailing address

613 Kingston Lacy Blvd
Pflugerville, TX 78660-7451

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaekels@georgetownisd.org

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 Science

State licenses

LicenseStateTypeSpecialty
118262TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beetle and Hare Speech, PLLC Speech-Language Pathologist CurrentSince Jul 22, 2025 Accepting new patients

Locations

110 E 7th St
Ste 310
Georgetown, TX 78626
Phone (737) 710-8987

Interoperability endpoints

  • Direct secure messaging: jaekels@georgetownisd.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1174243885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 KINGSTON LACY BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266826",
            "telephone_number": "512-943-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEKEL",
        "first_name": "SAMANTHA",
        "middle_name": "JAI",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaekels@georgetownisd.org",
            "affiliation": "N",
            "endpointDescription": "GISD email",
            "address_1": "507 E University Ave",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786266826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.