Individual provider Active NPI

Samantha Gogarty Hernandez, SLP

  • Speech-Language Pathologist
  • Coral Gables, FL
National Provider Identifier
1669630919
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9473 Issued in FL
Practice address
2525 Ponce de Leon Blvd FL 3
Coral Gables, FL 33134-6037
Phone
(786) 210-5344
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 SA 9473 FL Primary

Addresses

Primary practice location

2525 Ponce de Leon Blvd FL 3
Coral Gables, FL 33134-6037

Mailing address

6800 SW 40TH St Ste 210
Miami, FL 33155-3708
Phone (786) 210-5344

Other identifiers 1

IdentifierTypeStateIssuer
001417300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930000093 FL Practitioner - Qualified Speech Language Pathologist 3173743978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 9473FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swallowing Continuum, Inc. Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients

Locations

2525 Ponce de Leon Blvd
Fl 3
Coral Gables, FL 33134
Phone (305) 801-9219

6800 SW 40th St
Miami, FL 33155
Phone (786) 334-2585

Organizations & group practices 1

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1669630919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SW 40TH ST STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553708",
            "telephone_number": "786-210-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PONCE DE LEON BLVD FL 3",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346037",
            "telephone_number": "786-210-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SAMANTHA",
        "middle_name": "GOGARTY",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001417300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.