Samantha Mary Teater, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029312 Issued in NY

Practice address

10 Empire State Blvd
Castleton on Hudson, NY 12033-9751

Phone

(518) 477-8771

NPI assigned

Jan 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1457981565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EMPIRE STATE BLVD",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339751",
            "telephone_number": "518-477-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EMPIRE STATE BLVD",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339751",
            "telephone_number": "518-477-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Menemsha Ln",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121807276",
            "country_code": "US",
            "telephone_number": "518-283-5752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1216 Maple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Castleton ON Hudson",
            "state": "NY",
            "postal_code": "120331614",
            "country_code": "US",
            "telephone_number": "518-732-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEATER",
        "first_name": "SAMANTHA",
        "middle_name": "MARY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary P Shierly, PA
• Yen Vu Sidoti
• Carly F Smith
• Jennifer Sober, LCSW
• Rebecca Stewart, MSED
• Sarah Teller, M.S. CCC-SLP
• Leslie Van Buren Waite Jr., PSY.D.
• Colleen M Waters Fratianni
• Amber Rose Watt
• Rebekah Zimmerman, MSED

• Speech-Language Pathologist in Castleton on Hudson, NY
• Providers in Castleton on Hudson, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.