SAMANTHA CHURCH (NPI# 1093879751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093879751 |
| Entity Type | Individual |
| Full Name | SAMANTHA CHURCH |
| Credential | M.S, CCC-SLP |
| Practice Address |
101 Creekview St Locust NC 28097-8507 |
| Practice Telephone | 7043024450 |
| Practice Fax Number | 7043235222 |
| Mailing Telephone | 7043024450 |
| Mailing Fax Number | 7043235222 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7716 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 4157 | SC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467096180 | Samantha Church | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-11-06 |
| 1306315494 | Samantha Church | Case Manager/Care Coordinator | 10 Boulder Crescent St Ste 102, Colorado Springs, CO 80903-3350 | 2018-11-18 |
| Street Address |
101 CREEKVIEW ST |
| City | LOCUST |
| State | NC |
| Zip Code | 28097-8507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215172457 | Mimi Austin Braunsberg | Speech-Language Pathologist | 101 Creekview St, Locust, NC 28097-8507 | 2008-12-02 |
| 1578715231 | The Therapy Station, LLC | Speech-Language Pathologist | 101 Creekview St, Locust, NC 28097-8507 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477906063 | Amanda Tucker Queen | Massage Therapist | 117 Renee Ford Rd, Locust, NC 28097 | 2016-07-19 |
| 1184841280 | Community Pharmacy of Locust LLC. | Durable Medical Equipment & Medical Supplies | 236 Market Street, Suite 100, Locust, NC 28097 | 2007-04-19 |
| 1417160177 | Jason E. Martin, Dds, Pa | Dentist | 236 Market Street, Suite 200, Locust, NC 28097 | 2007-05-08 |
| 1558487991 | First Care Medical Clinic | Pediatrics | 210 West Main Street, Locust, NC 28097 | 2007-03-21 |
| 1639778905 | Intentional Growth Behavioral Health Services, Pllc | Social Worker | 544 Contentment Dr, Locust, NC 28097-0045 | 2020-10-19 |
| 1356575005 | Raymond Ross Perez | Family Medicine | 236 Market St Ste 110, Locust, NC 28097-1312 | 2009-05-11 |
| 1356358576 | Robert Lee Seymour | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2006-08-01 |
| 1639618713 | Wael Zeitouni, Dds, Pllc | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2017-02-22 |
| 1912131384 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1876 Main St W, Locust, NC 28097-7700 | 2009-05-13 |
| 1093926503 | Jan Gail Hardcopf -bickley | Occupational Therapist | 1800 Main St W, Locust, NC 28097-7700 | 2007-05-25 |
| Find all providers in zip 28097 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215172457 | Mimi Austin Braunsberg | Speech-Language Pathologist | 101 Creekview St, Locust, NC 28097-8507 | 2008-12-02 |
| 1578715231 | The Therapy Station, LLC | Speech-Language Pathologist | 101 Creekview St, Locust, NC 28097-8507 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366114 | Sisters In Speech, PC | Speech-Language Pathologist | 66 Pewee Ln, Waynesville, NC 28786-8069 | 2020-11-02 |
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1528667714 | Evans Avt Pllc | Speech-Language Pathologist | 8 Brynhurst Ct, Durham, NC 27713-9357 | 2020-10-20 |
| 1467050443 | Speech Therapy & Allied Resources, Pllc | Speech-Language Pathologist | 1105 Englewood Ave, Durham, NC 27701-1125 | 2020-10-13 |
| 1568069508 | Roots and Wings Speech and Language Services, Pllc | Speech-Language Pathologist | 2005 Lodestar Dr, Raleigh, NC 27615-2520 | 2020-10-02 |
| 1194332312 | Lindsay M Austin | Speech-Language Pathologist | 141 Terrace Ln Apt 1205, Boone, NC 28607-5380 | 2020-09-30 |
| 1285241679 | Rebecca Latterman | Speech-Language Pathologist | 1085 Richmond Park Dr, Winston Salem, NC 27103-5384 | 2020-09-29 |
| 1467069195 | Speech Tx | Speech-Language Pathologist | 2649 Cypress Oak Ln, Gastonia, NC 28056-0018 | 2020-09-27 |
| 1700493509 | John Wilson Irwin | Speech-Language Pathologist | 19 Saint James Ct, Durham, NC 27713-9408 | 2020-09-25 |
| 1972119048 | Savikaluck Risza Konkankit | Speech-Language Pathologist | 1010 Stillwell Dr Unit 2401, Durham, NC 27707-6279 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.