Active NPI
Samantha M Westrich
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1871053561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13480
- Practice address
- 4900 Waters Edge Dr
Raleigh, NC 27606-2463 - Phone
- (919) 859-8361
- Fax
- (336) 419-2755
- NPI assigned
- Mar 20, 2019
- Last updated
- Oct 29, 2020
- 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 | 13480 | NC | Primary |
Addresses
Primary practice location
4900 Waters Edge Dr
Raleigh, NC 27606-2463
Mailing address
2801 Mail Service Ctr
Raleigh, NC 27699-2801
Phone (919) 855-3564
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13480 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC Dept of Health and Human Service/DVRS | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba NC Assistive Technology Program
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1427233972
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1871053561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 MAIL SERVICE CTR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276992801",
"telephone_number": "919-855-3564",
"fax_number": "919-715-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 WATERS EDGE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276062463",
"telephone_number": "919-859-8361",
"fax_number": "336-419-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTRICH",
"first_name": "SAMANTHA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.