Samantha Kay Carr, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7192 Issued in TN

Practice address

505 Crestland Dr
Columbia, TN 38401-2223

Phone

(615) 879-2132

NPI assigned

Jun 15, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Kay Blankenship Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Special Kids Inc

  • Physical Therapist
  • Murfreesboro, TN
  • NPI 1851328082

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1336879030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CRESTLAND DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012223",
            "telephone_number": "615-879-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CRESTLAND DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012223",
            "telephone_number": "615-879-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BLANKENSHIP",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caris Palliative Care LLC
• Roslin Carlson, FNP
• Deborah Annette Carnell-Evans
• Gina Hanafi Carney, DMD
• Carolyn a Hebel Psychiatry LLC
• Lexie Carroll
• Brian Kendall Carter
• Jillian C Carter, LCSW
• Tiffany Alexandria Carter
• Diana Casella, LCSW

• Speech-Language Pathologist in Columbia, TN
• Providers in Columbia, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.