Samantha Elizabeth Cannavo

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA10746 Issued in AZ

Practice address

1801 N Navajo Dr.
Page, AZ 86040

Phone

(928) 608-4200

NPI assigned

Feb 8, 2019

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redmond Speech & Language Total Communication Services, LLC

  • Speech-Language Pathologist
  • Redmond, OR
  • NPI 1902170343

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1891250338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E TERRACE AVE APT C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015270",
            "telephone_number": "617-688-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N NAVAJO DR.",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "86040",
            "telephone_number": "928-608-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNAVO",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natacha Tatiana Bryan, M.ED
• Brendyce Monae Budd
• Paul Burton, DDS
• Joanne B. Butler, LMSW
• Daniel Peter Buys, PHARMD
• Canyon View Medical Center,LTD
• Canyonlands Community Health Care (Canyonlands Healthcare - Adams Chiropractic)
• Canyonlands Community Health Care
• Canyonlands Community Health Care (Lake Powell Medical Center)
• Canyonlands Community Health Care (Canyonlands Urgent Care)

• Speech-Language Assistant in Page, AZ
• Providers in Page, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.

Verify at the official NPI Registry.