Samantha Holley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202005305 Issued in VA

Practice address

Cariwon Childrens Pediatric Therapy Department
4348 Electric Rd 1St Floor
Roanoke, VA 24018

Phone

(540) 769-0974

Fax

(540) 857-5384

NPI assigned

Dec 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samantha Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1689819583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARIWON CHILDRENS PEDIATRIC THERAPY DEPARTMENT",
            "address_2": "4348 ELECTRIC RD 1ST FLOOR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-769-0974",
            "fax_number": "540-857-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIWON CHILDRENS PEDIATRIC THERAPY DEPARTMENT",
            "address_2": "4348 ELECTRIC RD 1ST FLOOR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-769-0974",
            "fax_number": "540-857-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "SAMANTHA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202005305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004979061",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Eugene Holcomb, MD
• Patience Marie Holdren, BCABA, LABA
• Dwight A Holland, M.D., PH.D.
• Margaret Smith Holland, M.S.W., CSAC
• Heather Holley
• Alex Christopher Holliday, M.D.
• Maggie Clare Holliman, EDS
• Kelli Hollingsworth, RDMS
• Hollins Communications Research Institute
• Alicia Grace Hollis, DO

• Speech-Language Pathologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.