Active NPI
Samantha Gregory
- Speech-Language Assistant
- Little Rock, AR
National Provider Identifier
1386089050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 920090677
- Practice address
- 10515 W Markham St Ste E1
Little Rock, AR 72205-2292 - Phone
- (501) 343-4225
- NPI assigned
- May 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 920090677 | AR | Primary |
Addresses
Primary practice location
10515 W Markham St Ste E1
Little Rock, AR 72205-2292
Mailing address
9300 Twin Mountain LN
Roland, AR 72135-9024
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
| License | State | Type | Specialty |
|---|---|---|---|
| 920090677 | AR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1386089050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 TWIN MOUNTAIN LN",
"city": "ROLAND",
"state": "AR",
"postal_code": "721359024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 W MARKHAM ST STE E1",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052292",
"telephone_number": "501-343-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": "920090677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.