Samantha Christine Dorsey, MS CCC/SLP-L AOS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146006356 Issued in IL

Practice address

1907 W Forrest Hill Ave
Peoria, IL 61604-1919

Phone

(309) 672-6571

Fax

(309) 688-0320

NPI assigned

Aug 20, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1912554452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W FORREST HILL AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041919",
            "telephone_number": "309-672-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W FORREST HILL AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041919",
            "telephone_number": "309-672-6571",
            "fax_number": "309-688-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC/SLP-L AOS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel I Doria Jr., MD
• Emily Dormire, DO
• Kody Duane Dormire, DO
• Deborah P. Dornaus, M. A.,LCPC
• Thomas R Dorsch, MD
• Jamie Doubet, APN
• Keith Michael Doubet, FNP-C
• Valerie Marie Doubet, L.M.T.
• Shawn Doud, QMHP
• Nastasia Magda Douyon, M.D.

• Speech-Language Pathologist in Peoria, IL
• Providers in Peoria, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.