Active NPI
Samantha White, M.S. CCC-SLP
- Speech-Language Pathologist
- Mayflower, AR
National Provider Identifier
1649535071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#3219
- Practice address
- 582 Highway 365 Ste 3
Mayflower, AR 72106-9525 - Phone
- (501) 470-3500
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 15, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 0000004420 | TN | |
| Speech-Language Pathologist | 235Z00000X | SP#3219 | AR | Primary |
Addresses
Primary practice location
582 Highway 365 Ste 3
Mayflower, AR 72106-9525
Mailing address
582 Hwy 365
Suite 3
Mayflower, AR 72106
Phone (501) 470-3500
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#3219 | AR | MD | Speech-Language Pathologist |
| SP 0000004420 | TN | MD | Speech-Language Pathologist |
Practice roles
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1649535071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 HWY 365",
"address_2": "SUITE 3",
"city": "MAYFLOWER",
"state": "AR",
"postal_code": "72106",
"telephone_number": "501-470-3500",
"fax_number": "501-470-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 HIGHWAY 365 STE 3",
"city": "MAYFLOWER",
"state": "AR",
"postal_code": "721069525",
"telephone_number": "501-470-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SAMANTHA",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP 0000004420",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#3219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayflower, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.