Active NPI
Samantha Welch
- Speech-Language Pathologist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14308378
- Practice address
- 20860 N Tatum Blvd Ste 300
Phoenix, AZ 85050-4283 - Phone
- (847) 751-0045
- Fax
- (415) 358-4808
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- 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 | 14308378 | AZ | Primary |
Addresses
Primary practice location
20860 N Tatum Blvd Ste 300
Phoenix, AZ 85050-4283
Mailing address
1035 Detroit St
Denver, CO 80206-3325
Phone (623) 692-7400
Other practice location 1
4650 Central Park Blvd
Denver, CO 80238-2328
Phone (623) 692-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20860 N Tatum Blvd
Suite 300
Phoenix, AZ 85050-4283
Phone (847) 751-0045
7535 E Hampden Ave
Suite 400
Denver, CO 80231-4844
Phone (847) 751-0045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14308378 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
20860 N Tatum Blvd
Ste 300
Phoenix, AZ 85050
Phone (480) 478-0520
7535 E Hampden Ave
Ste 400
Denver, CO 80231
Phone (303) 229-6393
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1821875527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 DETROIT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802063325",
"telephone_number": "623-692-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20860 N TATUM BLVD STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504283",
"telephone_number": "847-751-0045",
"fax_number": "415-358-4808"
}
],
"practiceLocations": [
{
"address_1": "4650 Central Park Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802382328",
"country_code": "US",
"telephone_number": "623-692-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "14308378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.