Active NPI
Samantha L Mullins, SLPA
- Speech-Language Assistant
- Saint Louis, MO
National Provider Identifier
1285228783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019033116 | MO | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad McMillin, Inc | Past | Accepting new patients | |
| Speak Wonders, LLC | Past | 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.
-
- Hearing Aid Equipment
- Manchester, MO
- NPI 1649496795
-
- Speech-Language Pathologist
- Saint Louis, MO
- NPI 1215421334
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.