Individual provider Active NPI

Samantha M Comisky, AUD

  • Audiologist
  • Shreveport, LA
National Provider Identifier
1982122719
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
9824 Issued in LA
Practice address
333 Texas St Ste 1361
Shreveport, LA 71101-3666
Phone
(217) 502-8786
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001632 IL
Audiologist 231H00000X 1384A AL
Audiologist 231H00000X 9824 LA Primary

Addresses

Primary practice location

333 Texas St Ste 1361
Shreveport, LA 71101-3666

Mailing address

6212 Kathy Cir
Shreveport, LA 71105-4402
Phone (217) 502-8786

Other practice location 1

7145 Halcyon Summit Dr
Montgomery, AL 36117-6971
Phone (334) 244-3408

Other practice location 2

7425 Monika Manor Dr
Tampa, FL 33625-5814
Phone (217) 502-8786

Other practice location 3

19 Wolf Creek Dr
Dept Otolaryngology
Swansea, IL 62226-2355
Phone (618) 235-3687

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

LicenseStateTypeSpecialty
1384AALMDAudiologist
147001632ILMDAudiologist
9824LAMDAudiologist

Interoperability endpoints

  • Direct secure messaging: sacomisky@entaaf.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1982122719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 KATHY CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054402",
            "telephone_number": "217-502-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TEXAS ST STE 1361",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013666",
            "telephone_number": "217-502-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7145 Halcyon Summit Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361176971",
            "country_code": "US",
            "telephone_number": "334-244-3408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7425 Monika Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255814",
            "country_code": "US",
            "telephone_number": "217-502-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Wolf Creek Dr",
            "address_2": "Dept Otolaryngology",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622262355",
            "country_code": "US",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMISKY",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001632",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1384A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "9824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.