Samantha Carbajal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP9237 Issued in AZ

Practice address

1930 E Southern Ave
Tempe, AZ 85282-7518

Phone

(480) 456-0719

NPI assigned

Feb 4, 2015

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

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 and National Provider Directory roles.

• Pioneer Pet, LLC

  • Diagnostic Radiology Physician
  • Tempe, AZ
  • NPI 1265401996
  NPD (past)
• Solace Pediatric Healthcare Therapy Services Az, Inc.

  • Physical Therapist
  • Tempe, AZ
  • NPI 1669533105

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1386034841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 N BLACK CANYON HWY UNIT 3078",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857620",
            "telephone_number": "269-815-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827518",
            "telephone_number": "480-456-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP9237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacci Arden Caplin, MSW, LCSW
• Elizabeth Capps-Conkle, PSY.D.
• Freddie Carabajal, ATC
• Tawnie C Caracci, APN, FNP
• Kimberly Summer Caravone, N.M.D
• Mariana Cardenas Landeros, RBT
• Carissa M Cardenas, BS, RBT
• Cardiovascular Clinic of Arizona PLLC
• Care Connections
• Care Connections Nationwide LLC

• Speech-Language Pathologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.