Connect Speech & Language, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CONNECT SPEECH & LANGUAGE, LLC

Practice address

1803 Kepner Dr.
Anchorage, AK 99504-3061

Phone

(907) 887-6181

Fax

(844) 975-1181

NPI assigned

Mar 13, 2020

Last updated

Feb 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Samuel, M.S., CCC-SLPNPI 1417268558

Title

Owner/Managing Member

Phone

(907) 887-6181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Nicole Samuel, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1417268558
  NPD Authorized official

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1235765918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 110145",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110145",
            "telephone_number": "907-887-6181",
            "fax_number": "844-975-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 KEPNER DR.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043061",
            "telephone_number": "907-887-6181",
            "fax_number": "844-975-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT SPEECH & LANGUAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "907-887-6181",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707800",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Conley
• Kim Theresa Conley, DDS
• Wanda Conley
• Daniel Francis Conlin, MA, LPC
• Amy Conn
• Amanda Connell, LCSW
• Marc B Connelly, MD
• Matthew Nelson Conner
• Brook Connolly, LCSW
• Bret Hulin Connor

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.