Individual provider Active NPI

Samantha Aquino, CF-SLP

  • Speech-Language Pathologist
  • Richmond, VA
National Provider Identifier
1649951591
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2204001132 Issued in VA
Practice address
5004 Monument Ave Ste 104
Richmond, VA 23230-3629
Phone
(804) 440-1489
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 2204001132 VA Primary

Addresses

Primary practice location

5004 Monument Ave Ste 104
Richmond, VA 23230-3629

Mailing address

5004 Monument Ave Ste 104
Richmond, VA 23230-3629
Phone (804) 440-1489

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2204001132VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JP Therapy, LLC CurrentSince Jul 15, 2024 Accepting new patients
Talk Therapy Services, LLC Speech-Language Pathologist CurrentSince Jul 31, 2023 Accepting new patients

Locations

5004 Monument Ave
Ste 104
Richmond, VA 23230
Phone (804) 440-1489

5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1649951591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 MONUMENT AVE STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303629",
            "telephone_number": "804-440-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 MONUMENT AVE STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303629",
            "telephone_number": "804-440-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "SAMANTHA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.