Nirmal K Samanta

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

2004016682 Issued in MO

Legal business name

NIRMAL K SAMANTA

Practice address

250 Brandy LN
Cape Girardeau, MO 63701-8443

Phone

(573) 450-3393

Fax

(573) 339-0911

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Nirmal Kumar Samanta, PHD,CCC-SLP

Title

Speech -Language Pathologist

Phone

(573) 450-3393

Specialties & licenses 2

Addresses

Tax ID family

Nirmal K Samanta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nirmal Samanta SLP

  • Speech-Language Pathologist
  • Cape Girardeau, MO
  • NPI 1699191064
  NPD tax ID

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1205168523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BRANDY LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018443",
            "telephone_number": "573-450-3393",
            "fax_number": "573-339-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BRANDY LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018443",
            "telephone_number": "573-450-3393",
            "fax_number": "573-339-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRMAL K SAMANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "SAMANTA",
        "authorized_official_first_name": "NIRMAL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "SPEECH -LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "573-450-3393",
        "authorized_official_credential": "PHD,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MO",
            "license": "2004016682",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "2004016682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Nickell Jr., M.A., ATC
• Heather Lee Nickelson, MOTR/L
• Kevin Andrew Niedbalski, PHARMD, BCGP
• William Joseph Nienaber, MD
• John Eugene Nimmo
• Nirmal Samanta SLP
• April Dawn Niswonger
• Jamie Lyn Nix, P.T. , G.C.S.
• Jaime Noack
• Timothy Scott Noel, DC

• Alzheimer Center (Dementia Center) in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Alzheimer Center (Dementia Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.