Samantha Prazak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

101 11TH Ave S Ste 155
Nampa, ID 83651-3946

Phone

(208) 466-1077

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Chatterbox Pediatric Therapy

  • Speech-Language Pathologist
  • Nampa, ID
  • NPI 1972423556
  NPD (past)

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1568115723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 11TH AVE S STE 155",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513946",
            "telephone_number": "208-466-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Royal Ln Ste 290",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750393602",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAZAK",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Ross Powell, MD
• Heather Powell, FNP-C
• Tyler Powell, DPT
• Ginger Lee Powers, MSN, RN, FNP-BC
• Robert Alan Pratt, D.M.D.
• Preferred Community Homes
• Preferred Community Homes
• Julie Prem Zepeda
• Premier Emergency Physicians of Idaho Medical Group
• Kristin Marie Prescott, FNP-C

• Speech-Language Pathologist in Nampa, ID
• Providers in Nampa, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.