Samantha Reynolds · Samantha Lynn Deshazo · Speech-Language Pathologist

1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258

Overview

Samantha Reynolds is a Speech-Language Pathologist practicing in Fredericksburg, Virginia. The National Provider Identifier (NPI) is #1356697379, which was assigned on July 27, 2012, and the registration record was last updated on January 26, 2021. The practitioner's main practice location is at 810 Westwood Office Park, Fredericksburg, VA 22401; the contact telephone number is 5406936997. The primary taxonomy of Samantha Reynolds is Speech-Language Pathologist (235Z00000X). Samantha Reynolds is licensed to practice in the state of Virginia (#2202006627).

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.

Provider Information

NPI 1356697379
Entity Type Individual
Provider Name MISS SAMANTHA REYNOLDS
Other Name SAMANTHA LYNN DESHAZO
(Former Name)
Gender Female
Credential M.S.CCC-SLP
Other Credential M.S.CCC-SLP
Practice Address 810 Westwood Office Park
Fredericksburg
VA 22401
Practice Telephone 5406936997
Mailing Address 1377 Motor Pkwy Ste 307
Islandia
NY 11749-5258
Mailing Telephone 9142944050
Mailing Fax Number 6317608306
Certification Date 2021-01-26
Enumeration Date 2012-07-27
Last Update Date 2021-01-26
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y235Z00000XSpeech-Language Pathologist2202006627VA

Secondary Practice Locations

AddressTelephoneFax
680 Kingsborough Sq Ste B, Chesapeake, VA 23320498875754704347575470612

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Samantha Reynolds 119d Joseph Lonsway Dr, Clayton, NY 13624-9579Licensed Practical Nurse2017-07-05
Samantha Reynolds 3451 Western Center Blvd, Fort Worth, TX 76137-3101Optometrist2019-06-12
Samantha Reynolds 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295Mental Health Counselor2025-01-09
Samantha Reynolds 1064 Summit Dr, Middletown, OH 45042-3400Behavior Technician2024-08-06

Taxonomy Information

Primary Taxonomy

Code 235Z00000X
Taxonomy Speech-Language Pathologist
Classification Speech-Language Pathologist
Grouping Speech, Language and Hearing Service Providers
Definition: 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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Nancy Marie Boily 700 E Grand Hwy, Clermont, FL 34711-3708Speech-Language Pathologist2025-03-07
Steadfast Speech PLLC 2700 James Rd, Granbury, TX 76049-2928Speech-Language Pathologist2025-03-08
Jeffrey Campoli Slp LLC 484 Stratford Rd, Brooklyn, NY 11218-6006Speech-Language Pathologist2025-03-07
Kylee Brooke Clark 3631 Hill Blvd, Jefferson Valley, NY 10535-1501Speech-Language Pathologist2025-03-08
Lauren Lawlor 11330 Countryway Blvd, Tampa, FL 33626-2670Speech-Language Pathologist2025-03-08
Anne Ghiozzi 2340 Smith Rd, Brentwood, CA 94513-5419Speech-Language Pathologist2025-03-08
Nancy Ann Castilleja 5802 S Presa St, San Antonio, TX 78223-3506Speech-Language Pathologist2025-03-07
Aaminah Baloch 3550 Stevens Creek Blvd Ste 200, San Jose, CA 95117-1031Speech-Language Pathologist2025-03-07
Lindsey Klein 206 E 81st St Apt 5a, New York, NY 10028-2622Speech-Language Pathologist2025-03-07
Linda Almarie Maldonado Pagan Rr 1 Box 12097, Manati, PR 00674-9738Speech-Language Pathologist2025-03-07
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Location Information

Street Address 1377 MOTOR PKWY STE 307
City ISLANDIA
State NY
Zip Code 11749-5258
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Carolina Calvet One Suffolk Sq., Suite 200, Islandia, NY 11749Dentist2007-04-17
The Optical Source 1744 Veterans Memorial Highway, Islandia, NY 11749Optometrist2007-05-21
Deborah Duffy Adkins 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749Adult Health Nurse Practitioner2008-06-16
Jaime Patricia Spencer 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749Occupational Therapist2007-06-25
Kidwell Inc 1770 Motor Parkway, Hauppauge, NY 11749Pharmacist2006-08-15
Lawrence Allen Weinberg 68 Sutton Pl, Islandia, NY 11749Prosthodontist2013-05-03
Tina Andersen 1832 Veterans Memorial Hwy., Islandia, NY 11749Audiologist2006-06-27
Melvin Portnoy 1 Suffolk Sq, Ste 200, Islandia, NY 11749General Practice Dentistry2007-04-12
Viney Mathews 208 Towne House Village, Islandia, NY 11749School Counselor2013-08-16
Dennis Berg 1 Suffolk Sq., Ste 200, Islandia, NY 11749Dentist2006-10-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.