Jacqueline Marie Yi Mei Samora, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4826 Issued in TN

Practice address

1215 21St Ave S Ste 9211
Nashville, TN 37232-4638

Phone

(615) 936-5040

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Deborah L Curlee Communication Consultants Inc

  dba Sidekick Therapy Partners

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1568470599
  NPD (past)
• Vanderbilt University Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1396882205
  NPD (past)

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1194497099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 ELLISTON PL APT 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035398",
            "telephone_number": "619-857-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S STE 9211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324638",
            "telephone_number": "615-936-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMORA",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE YI MEI",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000007628",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameerah Ali Mobile Med PLLC
• Daniel A Samek, CRNA
• Matthew Alan Samek
• Katrin Sames
• Una Mary Sammon, CNM
• Emily Samosuk
• Kaleigh Samowski, SLP
• Samantha Maye Sample, PA-C
• Shaun McGuinn Samples, MD
• Zack Samples

• Speech-Language Pathologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.