Individual provider Active NPI

Nesa Samuel, MS CCC-SLP

  • Speech-Language Pathologist
  • West Chester, PA
National Provider Identifier
1336750074
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL015202 Issued in PA
Practice address
638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone
(610) 436-3600
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL015202 PA Primary

Addresses

Primary practice location

638 Brandywine Pkwy
West Chester, PA 19380-4278

Mailing address

1345 Enterprise Drive
West Chester, PA 19380-4278

Other practice location 1

100 Corporate Center Dr Ste 115
Coraopolis, PA 15108-4332
Phone (412) 299-0704

Other practice location 2

8348 Traford Ln Ste 200
Springfield, VA 22152-1650
Phone (703) 569-7500

Other practice location 3

2765 Jefferson Davis Hwy Ste 203
Stafford, VA 22554-8331
Phone (540) 446-5323

Other practice location 4

5316 William Flynn Hwy
Gibsonia, PA 15044-9697
Phone (724) 444-5333

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

LicenseStateTypeSpecialty
SL015202PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay, LLC PastSince Aug 23, 2020 Accepting new patients
Fleming Therapy Services, LLC Speech-Language Pathologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1336750074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 ENTERPRISE DRIVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 BRANDYWINE PKWY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804278",
            "telephone_number": "610-436-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Corporate Center Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Coraopolis",
            "state": "PA",
            "postal_code": "151084332",
            "country_code": "US",
            "telephone_number": "412-299-0704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8348 Traford Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221521650",
            "country_code": "US",
            "telephone_number": "703-569-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2765 Jefferson Davis Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548331",
            "country_code": "US",
            "telephone_number": "540-446-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5316 William Flynn Hwy",
            "address_purpose": "LOCATION",
            "city": "Gibsonia",
            "state": "PA",
            "postal_code": "150449697",
            "country_code": "US",
            "telephone_number": "724-444-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "NESA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.