Samantha Rae Pence Hafkesbring, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4056 Issued in KS

Practice address

1200 Highway 100
Suite 9
Port Isabel, TX 78578-2462

Phone

(956) 607-8329

NPI assigned

Aug 5, 2011

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Laguna Madre Rehabilitation Center

  • Physical Therapist
  • Port Isabel, TX
  • NPI 1982929246
  NPD (past)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1710266978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CEDAR RIDGE CIR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839090",
            "telephone_number": "503-703-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 100",
            "address_2": "SUITE 9",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785782462",
            "telephone_number": "956-607-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFKESBRING",
        "first_name": "SAMANTHA",
        "middle_name": "RAE PENCE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2018011789",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony John Flaig, D.C.
• Savanah Rae Garcia, MSN, FNP-C
• Stephanie Erin Garza, DPT
• Leslie A Gonzalez
• Elizabeth Kathleen Graustein, FNP-BC
• Gail A. Heinz, PA-C
• Debbie Elector Holmes, SPEECH LANG ASSIST
• Patty Hoxtell
• Elizabeth Hutton, LPC
• Isla Primary

• Speech-Language Pathologist in Port Isabel, TX
• Providers in Port Isabel, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.