Samantha Lee McCulley, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5811 Issued in TN

Practice address

408 Belleview Dr SE
Cleveland, TN 37323-7565

Phone

(423) 453-3359

NPI assigned

Sep 3, 2013

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

Other names 1

• Samantha Lee Holbrook Former name

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.

• The Talk Stop, LLC

  • Speech-Language Pathologist
  • Cleveland, TN
  • NPI 1437982154
  NPD Authorized official
• Stellar Medical Services, LLC

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1316433238
  NPD (past)
• Stellartherapy Services, LLC

  • Speech-Language Pathologist
  • Chattanooga, TN
  • NPI 1205041811
  NPD (past)

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1447685904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BELLEVIEW DR SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373237565",
            "telephone_number": "234-533-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BELLEVIEW DR SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373237565",
            "telephone_number": "423-453-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HOLBROOK",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Thomas McCord, DDS
• Kristen McCormick
• Adrian David McCoy, DDS
• Angie Jaunette McCoy
• Hannah Elizabeth McCoy
• Tyler Keith McCurry, D.O.
• McDaniel Orthodontics of Cleveland, P.C.
• Andrew B McDaniel, DDS, MS
• Chad McDaniel, DPT
• Ariel Lusk McFadden

• Speech-Language Pathologist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.