Samantha Joelle Kalkowski, SPEECH-LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2011017269 Issued in MO

Practice address

2100 I 70 Dr SW
Columbia, MO 65203-0099

Phone

(573) 445-9981

NPI assigned

Sep 14, 2011

Last updated

Jun 23, 2016By 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 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Samantha Joelle Baylard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1851673982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 I 70 DR SW",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030099",
            "telephone_number": "573-445-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 I 70 DR SW",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652030099",
            "telephone_number": "573-445-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKOWSKI",
        "first_name": "SAMANTHA",
        "middle_name": "JOELLE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH-LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011017269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505241505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BAYLARD",
            "middle_name": "JOELLE",
            "prefix": "MRS.",
            "credential": "SPEECH-LANGUAGE PATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelley Kaiser, FNP-C
• Mark Stewart Kaiser, DO
• Aleksandr Kalabin, M.D.
• Satish Kalanjeri Balasubramanian, MD
• Kyle Gunther Kaletka, MD
• Effie Kaltsas, D.O.
• Yuuki Kaminoh, DO
• Brittany Kammerich, MD
• Karishma Kandel, PA-C
• Jennifer Michelle Kandlik, F.N.P.

• Speech-Language Pathologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.