Active NPI
Samuel King, MS, CF-SLP
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1295137909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP16396
- Practice address
- 4650 W Sweetwater Ave
Glendale, AZ 85304-1505 - Phone
- (602) 347-2627
- NPI assigned
- Sep 24, 2014
- Last updated
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP16396 | AZ | Primary |
Addresses
Primary practice location
4650 W Sweetwater Ave
Glendale, AZ 85304-1505
Mailing address
4306 N 79TH PL
Scottsdale, AZ 85251-4151
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP16396 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1295137909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4306 N 79TH PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852514151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SWEETWATER AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853041505",
"telephone_number": "602-347-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SAMUEL",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-24",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP16396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.