Individual provider Active NPI

Samantha Murdock Janego

  • Speech-Language Pathologist
  • West Carrollton, OH
National Provider Identifier
1326569948
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.13055 Issued in OH
Practice address
510 E Pease Ave
West Carrollton, OH 45449-1359
Phone
(937) 859-5121
Fax
(937) 859-5250
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP.13055 OH Primary

Addresses

Primary practice location

510 E Pease Ave
West Carrollton, OH 45449-1359

Mailing address

1708 Clarence St
Dayton, OH 45410-2608
Phone (937) 474-9590

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
SP.13055OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Carrollton City SD Past Accepting new patients

Organizations & group practices 1

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1326569948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 CLARENCE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454102608",
            "telephone_number": "937-474-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E PEASE AVE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491359",
            "telephone_number": "937-859-5121",
            "fax_number": "937-859-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANEGO",
        "first_name": "SAMANTHA",
        "middle_name": "MURDOCK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Carrollton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.