Active NPI
Samantha Fox, MA
- Speech-Language Pathologist
- Gainesville, FL
National Provider Identifier
1891339990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 230 NW 76TH Dr
Gainesville, FL 32607-6672 - Phone
- (352) 505-6363
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
230 NW 76TH Dr
Gainesville, FL 32607-6672
Mailing address
900 SW 62ND Blvd Apt L80
Gainesville, FL 32607-3818
Phone (214) 478-2146
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samanthab@funtherapysolutions.com | Fundamental Therapy Solutions |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1891339990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SW 62ND BLVD APT L80",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326073818",
"telephone_number": "214-478-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NW 76TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076672",
"telephone_number": "352-505-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "SAMANTHA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samanthab@funtherapysolutions.com",
"affiliation": "Y",
"affiliationName": "Fundamental Therapy Solutions",
"address_1": "230 NW 76th Dr",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326076672",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.