Samantha Blaker, MS, CF-SLP

Key facts

NPI

1831911072

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

128672 (IA)

Practice address

2720 8TH St SW Ste B
Altoona, IA 50009-1050

Phone

(515) 957-3663

NPI assigned

Oct 29, 2024

Sex

Female

Sole proprietor

No

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.

• Younker Rehabilitation Therapy Services, LLC Physical Therapist · Ankeny, IA · NPI 1447797113
  NPD SPEECH-LANGUAGE PATHOLOGIST
• On With Life, Inc Rehabilitation Clinic/Center · Coralville, IA · NPI 1245892629
  NPD (past)
• On With Life, Inc. Clinical Neuropsychologist · Ankeny, IA · NPI 1336633346
  NPD (past)

Medicare Care Compare profile

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2024.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1831911072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E PORTER AVE UNIT 32",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503202727",
            "telephone_number": "515-249-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW STE B",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091050",
            "telephone_number": "515-957-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKER",
        "first_name": "SAMANTHA",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "128672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Altoona, IA · Speech-Language Pathologist in Iowa