Individual provider Active NPI

Samantha Denise Perry, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Fort Polk, LA
National Provider Identifier
1427828540
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
121926 Issued in TX
Practice address
16114 Ryan PL Apt B
Fort Polk, LA 71459-2546
Phone
(850) 758-7741
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 121926 TX Primary

Addresses

Primary practice location

16114 Ryan PL Apt B
Fort Polk, LA 71459-2546

Mailing address

16114 Ryan PL Apt B
Fort Polk, LA 71459-2546
Phone (850) 758-7741

Other practice location 1

7349 Honeysuckle Ste 100
Temple, TX 76502-5888
Phone (254) 780-9658

Other names 1

  • Samantha Denise Arvin Former name

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
121926TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1427828540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16114 RYAN PL APT B",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714592546",
            "telephone_number": "850-758-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16114 RYAN PL APT B",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714592546",
            "telephone_number": "850-758-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7349 Honeysuckle Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765025888",
            "country_code": "US",
            "telephone_number": "254-780-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SAMANTHA",
        "middle_name": "DENISE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ARVIN",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Polk, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.