Active NPI
Samantha Joy Marsh, MA CCC-SLP
- Speech-Language Pathologist
- Midland, MI
National Provider Identifier
1922400183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101001058
- Practice address
- 1525 Ridgewood Dr
Midland, MI 48642-6425 - Phone
- (989) 835-6333
- NPI assigned
- Sep 19, 2014
- 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 | 7101001058 | MI | Primary |
Addresses
Primary practice location
1525 Ridgewood Dr
Midland, MI 48642-6425
Mailing address
5305 Eagles Way
Apt 8
Mount Pleasant, MI 48858-7382
Phone (989) 423-8785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101001058 | Other | MI | STATE OF MICHIGAN |
Other names 1
- Miss Samantha Joy Gray
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101001058 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Therapy Corner Inc | 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 and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Midland, MI
- NPI 1669418562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1922400183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 EAGLES WAY",
"address_2": "APT 8",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488587382",
"telephone_number": "989-423-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 RIDGEWOOD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486426425",
"telephone_number": "989-835-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "SAMANTHA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101001058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "7101001058",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "GRAY",
"middle_name": "JOY",
"prefix": "MISS",
"credential": "MA CF SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.