Individual provider Active NPI

Samantha Eaton, CCC-SLP

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1629626106
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09173 Issued in MD
Practice address
2300 N Lincoln St
Arlington, VA 22207-3854
Phone
(240) 678-5823
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 09173 MD Primary

Addresses

Primary practice location

2300 N Lincoln St
Arlington, VA 22207-3854

Mailing address

2300 N Lincoln St
Arlington, VA 22207-3854
Phone (240) 678-5823

Other practice location 1

1704 Oldtown Rd
Edgewater, MD 21037-2413
Phone (240) 678-5823

Other practice location 2

21615 Hawthorne Blvd Ste 200
Torrance, CA 90503-6670
Phone (310) 371-8555

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

LicenseStateTypeSpecialty
09173MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1629626106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N LINCOLN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073854",
            "telephone_number": "240-678-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N LINCOLN ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073854",
            "telephone_number": "240-678-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 Oldtown Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "MD",
            "postal_code": "210372413",
            "country_code": "US",
            "telephone_number": "240-678-5823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21615 Hawthorne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036670",
            "country_code": "US",
            "telephone_number": "310-371-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "SAMANTHA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "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": "MD",
            "license": "09173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.