Organization Active NPI

Nirmal Samanta SLP

  • Speech-Language Pathologist
  • Cape Girardeau, MO
National Provider Identifier
1699191064
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2004016682 Issued in MO
Legal business name
NIRMAL SAMANTA SLP
Practice address
250 Brandy LN
Cape Girardeau, MO 63701-8443
Phone
(573) 450-3393
Fax
(573) 339-0911
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Nirmal K Samanta, SLP
Title
Therapist/Owner
Phone
(573) 450-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2004016682 MO Primary

Addresses

Primary practice location

250 Brandy LN
Cape Girardeau, MO 63701-8443

Mailing address

250 Brandy LN
Cape Girardeau, MO 63701-8443
Phone (573) 450-3393

National Provider Directory

National Provider Directory
Tax ID family
Nirmal K Samanta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1699191064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BRANDY LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018443",
            "telephone_number": "573-450-3393",
            "fax_number": "573-339-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BRANDY LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018443",
            "telephone_number": "573-450-3393",
            "fax_number": "573-339-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRMAL SAMANTA SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "SAMANTA",
        "authorized_official_first_name": "NIRMAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "573-450-3393",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004016682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.