Individual provider Active NPI

Samantha Fuerte, MS CCC-SLP

  • Speech-Language Pathologist
  • Roseville, CA
National Provider Identifier
1396631214
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP38902 Issued in CA
Practice address
130 Diamond Creek PL Ste 120
Roseville, CA 95747-7592
Phone
(916) 755-4414
Fax
(916) 755-4364
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 SP38902 CA Primary

Addresses

Primary practice location

130 Diamond Creek PL Ste 120
Roseville, CA 95747-7592

Mailing address

214 E Churchill St
Stockton, CA 95204-2004
Phone (916) 712-9774

Other practice location 1

214 E Churchill St
Stockton, CA 95204-2004
Phone (916) 712-9774

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
SP38902CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Easy, Speech & Language Therapy Inc. CurrentSince Jun 23, 2025 Accepting new patients

Locations

130 Diamond Creek Pl
Ste 120
Roseville, CA 95747
Phone (916) 755-4414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1396631214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E CHURCHILL ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952042004",
            "telephone_number": "916-712-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIAMOND CREEK PL STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477592",
            "telephone_number": "916-755-4414",
            "fax_number": "916-755-4364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Churchill St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952042004",
            "country_code": "US",
            "telephone_number": "916-712-9774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUERTE",
        "first_name": "SAMANTHA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP38902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.