Active NPI
Samantha Fletcher
- Speech-Language Pathologist
- Morristown, NJ
National Provider Identifier
1932760741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00989400
- Practice address
- 17 Spring PL
Morristown, NJ 07960-3947 - Phone
- (862) 701-9163
- NPI assigned
- Jun 23, 2019
- 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 | 41YS00989400 | NJ | Primary |
Addresses
Primary practice location
17 Spring PL
Morristown, NJ 07960-3947
Mailing address
23 Lisa LN
Bristol, RI 02809-4562
Phone (401) 824-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00989400 | Other | NJ | SPEECH LANGUAGE PATHOLOGIST |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00989400 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561248000000",
"number": "1932760741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 LISA LN",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028094562",
"telephone_number": "401-824-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SPRING PL",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603947",
"telephone_number": "862-701-9163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-23",
"last_updated": "2019-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00989400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGIST",
"identifier": "41YS00989400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.