Active NPI
Sam Voland, M.A., CCC-SLP
- Speech-Language Pathologist
- Pendleton, IN
National Provider Identifier
1780381822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12149728
- Practice address
- 300 JH Walker Dr
Pendleton, IN 46064-8730 - Phone
- (765) 778-7501
- NPI assigned
- Feb 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12149728 | IN | Primary |
Addresses
Primary practice location
300 JH Walker Dr
Pendleton, IN 46064-8730
Mailing address
300 JH Walker Dr
Pendleton, IN 46064-8730
Phone (765) 778-7501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12149728 | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1780381822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 JH WALKER DR",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460648730",
"telephone_number": "765-778-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 JH WALKER DR",
"city": "PENDLETON",
"state": "IN",
"postal_code": "460648730",
"telephone_number": "765-778-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLAND",
"first_name": "SAM",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "12149728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pendleton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.