Samantha Rieches

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.006558 Issued in IL

Practice address

500 W Mulberry St
Georgetown, IL 61846-1897

Phone

(447) 777-0001

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1265194153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EAGLE BLUFF DR",
            "city": "OAKWOOD",
            "state": "IL",
            "postal_code": "618586205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MULBERRY ST",
            "city": "GEORGETOWN",
            "state": "IL",
            "postal_code": "618461897",
            "telephone_number": "447-777-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 W West St",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "IL",
            "postal_code": "618461846",
            "country_code": "US",
            "telephone_number": "447-777-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "IL",
            "postal_code": "618462005",
            "country_code": "US",
            "telephone_number": "447-777-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIECHES",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEL",
            "identifier": "2520987",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "secureemailaddress",
            "affiliation": "N",
            "endpointDescription": "Organization Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "de-identified case information and scheduling",
            "address_1": "500 W Mulberry St",
            "city": "Georgetown",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618461897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Georgetown, IL
• Providers in Georgetown, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.