Samantha Tyson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13425 Issued in NC

Practice address

1660 E Booker Dairy Rd
Smithfield, NC 27577-9405

Phone

(919) 938-3824

NPI assigned

Mar 31, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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.

• Accomplish Speech Therapy, PLLC

  • Speech-Language Pathologist
  • Pittsboro, NC
  • NPI 1134557713
  NPD

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1508327503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ACCOMPLISH SPEECH THERAPY, PLLC",
            "address_2": "17 APPLEBLOSSOM CT",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "275316092",
            "telephone_number": "321-287-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779405",
            "telephone_number": "919-938-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Wilson Trogdon, ITFS
• Paul A Trottman, MD
• Linda Pearl Trujillo
• Kayla Turconi, PA-C
• Mary A Tyndall, CPT
• Abm Enayet Ullah, M.D.
• Ultimate Family Care Home Inc.
• Ultimate Healthcare Inc
• Unc Physicians Network, LLC
• United Family Care Inc.

• Speech-Language Pathologist in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.