Active NPI
Samantha Lynn Dalley
- Speech-Language Assistant
- Apache Junction, AZ
National Provider Identifier
1477825503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA7012
- Practice address
- 550 S Ironwood Dr
Apache Junction, AZ 85120-5002 - Phone
- (480) 677-7520
- Fax
- (480) 982-4978
- NPI assigned
- Feb 6, 2012
- Last updated
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA7012 | AZ | Primary |
Addresses
Primary practice location
550 S Ironwood Dr
Apache Junction, AZ 85120-5002
Mailing address
2024 S Baldwin Unit 36
Mesa, AZ 85209-1704
Phone (480) 677-7520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA7012 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superstition Mountain Elemetary School | Past | Accepting new patients | |
| Superstition Mountain Elementary School | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student in an Organized Health Care Education/Training Program
- Apache Junction, AZ
- NPI 1770638538
-
- Local Education Agency (LEA)
- Apache Junction, AZ
- NPI 1356628218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1477825503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 S BALDWIN UNIT 36",
"city": "MESA",
"state": "AZ",
"postal_code": "852091704",
"telephone_number": "480-677-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S IRONWOOD DR",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851205002",
"telephone_number": "480-677-7520",
"fax_number": "480-982-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLEY",
"first_name": "SAMANTHA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apache Junction, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.