Individual provider Active NPI

Alyssa Brenna Samet, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1528406469
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10470 Issued in NC
Practice address
341 Martin Luther King Jr Dr
Greensboro, NC 27406-1620
Phone
(336) 707-9886
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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 10470 NC Primary

Addresses

Primary practice location

341 Martin Luther King Jr Dr
Greensboro, NC 27406-1620

Mailing address

341 Martin Luther King Jr Dr
Greensboro, NC 27406-1620
Phone (336) 707-9886

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10470NCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1528406469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MARTIN LUTHER KING JR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061620",
            "telephone_number": "336-707-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MARTIN LUTHER KING JR DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061620",
            "telephone_number": "336-707-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMET",
        "first_name": "ALYSSA",
        "middle_name": "BRENNA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.