Samantha Marie Flannery, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013576 Issued in IL

Practice address

501 7TH St
Rockford, IL 61104-1242

Phone

(815) 227-8400

Fax

(815) 229-2445

NPI assigned

Jan 15, 2015

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 Marie Cole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cooperative Educational Service Agency 2

  dba Birth to 3 Program

  • Developmentally Disabled Services Day Training Agency
  • Janesville, WI
  • NPI 1669860193
  NPD (past)

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1780073577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 7TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041242",
            "telephone_number": "815-227-8400",
            "fax_number": "815-229-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 7TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611041242",
            "telephone_number": "815-227-8400",
            "fax_number": "815-229-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669860193",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "COLE",
            "middle_name": "MARIE",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista Fiste, SLP
• Jenna Fitzgerald
• Julie Fitzgerald, CCC-SLP
• Five Star Quality Care-Il, LLC (Crimson Pointe)
• Dennis Joseph Flanagan, D.D.S.,M.S.
• Amber Flavin, COTA
• Megan Elizabeth Fleischman, PHARMD
• Andrew Fleming, PT
• Sara Fleming, MD
• Jeanne Marie Flesch, LCSW

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.