Samantha Simmons, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7424 Issued in SC

Practice address

2848 Pleasant Rd Ste 1012848
Fort Mill, SC 29708-9490

Phone

(800) 779-4089

Fax

(803) 547-9706

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Play and Say, LLC

  • Speech-Language Pathologist
  • Fort Mill, SC
  • NPI 1972443646
  NPD Authorized official
• Chit Chat Speech Language Therapy

  • Speech-Language Pathologist
  • Fort Mill, SC
  • NPI 1568627826
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1992306153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 PLEASANT RD STE 1012848",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089490",
            "telephone_number": "800-779-4089",
            "fax_number": "803-547-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 PLEASANT RD STE 1012848",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089490",
            "telephone_number": "800-779-4089",
            "fax_number": "803-547-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SAMANTHA",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLR",
            "identifier": "7424",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne R Shields, LPES, MA, CAS
• Heather Elizabeth Shiflett, PA-C
• Shiland Family Medicine
• Shubh Laabh LLC
• Marie Lewis Shuford
• Taylor Marshall Simmons, DPT
• Dustin Neal Simon, LPCA
• Holly Simpson, LCSW
• Laura Simpson
• Archie Sims II, FNP-C

• Speech-Language Pathologist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.