Individual provider Active NPI

Samantha J Keating, SLP

  • Speech-Language Pathologist
  • Stuart, FL
National Provider Identifier
1437913548
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11831 Issued in FL
Practice address
921 SE Ocean Blvd Ste 3
Stuart, FL 34994-2400
Phone
(772) 781-3740
Fax
(772) 919-6681
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 SZ11831 FL Primary

Addresses

Primary practice location

921 SE Ocean Blvd Ste 3
Stuart, FL 34994-2400

Mailing address

921 SE Ocean Blvd Ste 3
Stuart, FL 34994-2400
Phone (561) 676-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240224000344 FL Practitioner - Qualified Speech Language Pathologist 4284079757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speechrx LLC Speech-Language Pathologist CurrentSince Feb 15, 2024 Accepting new patients

Locations

921 SE Ocean Blvd
Ste 3
Stuart, FL 34994
Phone (772) 219-9983

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1437913548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SE OCEAN BLVD STE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942400",
            "telephone_number": "561-676-3341",
            "fax_number": "772-919-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SE OCEAN BLVD STE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942400",
            "telephone_number": "772-781-3740",
            "fax_number": "772-919-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.