MISS SAMANTHA SHADDIX (NPI# 1992306153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992306153 |
| Entity Type | Individual |
| Full Name | MISS SAMANTHA SHADDIX |
| Credential | SLP |
| Practice Address |
2848 Pleasant Rd Ste 1012848 Fort Mill SC 29708-9490 |
| Practice Telephone | 8007794089 |
| Practice Fax Number | 8035479706 |
| Mailing Telephone | 8007794089 |
| Mailing Fax Number | 8035479706 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7424 | SC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | LLR | 7424 | 01 |
| Street Address |
2848 PLEASANT RD STE 1012848 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-9490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| 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 |
|---|---|---|---|---|
| 1942835996 | Emily Chambers | Speech-Language Pathologist | 1055 Warpers Ln, Fort Mill, SC 29715-2080 | 2020-03-10 |
| 1770122343 | Kristen Miller | Speech-Language Pathologist | 1708 Catherine Lothie Way, Fort Mill, SC 29708-8909 | 2019-12-31 |
| 1063063006 | Melissa Maxwell | Speech-Language Pathologist | 1503 Josie Ln Apt 405, Fort Mill, SC 29708-0220 | 2019-09-20 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1720521339 | Susan Breiding | Speech-Language Pathologist | 11181 Scullers Run, Fort Mill, SC 29708-9370 | 2016-11-30 |
| 1710338074 | Judy Clare Speicher | Speech-Language Pathologist | 7917 Fawnwood Ln, Fort Mill, SC 29708-8221 | 2016-06-28 |
| 1689063737 | Elisabeth Voss | Speech-Language Pathologist | 315 Montmorenci Xing, Fort Mill, SC 29715-7836 | 2015-01-13 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1902209836 | Kimberly Michelle Schifano | Speech-Language Pathologist | 1436 Kilburn Ln, Fort Mill, SC 29715-0016 | 2014-10-06 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in FORT MILL | ||||
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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.