Katrinna Anthony Sampson, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10556 Issued in NC

Practice address

109 Bridge St
Fuquay Varina, NC 27526-1801

Phone

(919) 618-7038

NPI assigned

Sep 14, 2015

Last updated

Apr 3, 2020By 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

Credentials

Master of Arts

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

• Verbal Expressions Speech and Language Services LLC

  • Speech-Language Pathologist
  • Fuquay Varina, NC
  • NPI 1356842215
  NPD Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1174991798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261801",
            "telephone_number": "919-618-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261801",
            "telephone_number": "919-618-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "KATRINNA",
        "middle_name": "ANTHONY",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ruther
• RX Care 13 LLC (Fuquay Varina Drugs)
• Leva Asiyeh Sabet-Sharghi, DDS
• Michelle L Sall, OD
• Priyanka Sampat, PT
• Lana Sampson, MS, PH.D.
• Morgan Sands
• Kimball Jane-Marie Sargent, MSN, PMHCNS-BC
• Nicole Sargent, LCSWA
• Isabella Sauls

• Speech-Language Pathologist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.