Individual provider Active NPI

Samantha L Mullins, SLPA

  • Speech-Language Assistant
  • Saint Louis, MO
National Provider Identifier
1285228783
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Practice address
7432 Marillac Dr
Saint Louis, MO 63121-4744
Phone
(314) 495-8430
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2019033116 MO
Speech-Language Assistant 2355S0801X Primary

Addresses

Primary practice location

7432 Marillac Dr
Saint Louis, MO 63121-4744

Mailing address

5893 Azelea Dr
Cedar Hill, MO 63016-2002
Phone (314) 620-6588

Other practice location 1

469B Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 386-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019033116MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brad McMillin, Inc PastSince Mar 1, 2021 Accepting new patients
Speak Wonders, LLC PastSince Jan 7, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1285228783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5893 AZELEA DR",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162002",
            "telephone_number": "314-620-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 MARILLAC DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631214744",
            "telephone_number": "314-495-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469B Lafayette Ctr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MO",
            "postal_code": "630113943",
            "country_code": "US",
            "telephone_number": "636-386-0200",
            "fax_number": "363-386-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2019033116",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.