Individual provider Active NPI

Rachel Samples, SLP

  • Speech-Language Pathologist
  • Nicholasville, KY
National Provider Identifier
1356959829
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
264350 Issued in KY
Practice address
109 Wind Haven Dr Ste 100
Nicholasville, KY 40356-8010
Phone
(859) 224-2273
Fax
(859) 224-4675
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 264350 KY Primary

Addresses

Primary practice location

109 Wind Haven Dr Ste 100
Nicholasville, KY 40356-8010

Mailing address

109 Wind Haven Dr Ste 100
Nicholasville, KY 40356-8010
Phone (859) 224-2273

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
264350KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Pediatric Therapy, LLC Multi-Specialty CurrentSince Aug 2, 2020 Accepting new patients

Locations

117 E Jefferson St
Georgetown, KY 40324
Phone (502) 316-6180

3499 Blazer Pkwy
Ste 170
Lexington, KY 40509
Phone (859) 327-3033

109 Wind Haven Dr
Ste 100
Nicholasville, KY 40356
Phone (859) 619-3984

799 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 971-4658

1013 Center Dr
Richmond, KY 40475
Phone (859) 444-5330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1356959829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WIND HAVEN DR STE 100",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568010",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WIND HAVEN DR STE 100",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568010",
            "telephone_number": "859-224-2273",
            "fax_number": "859-224-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLES",
        "first_name": "RACHEL",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "264350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.