SAMANTHA FANTIN (NPI# 1154959484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154959484 |
| Entity Type | Individual |
| Full Name | SAMANTHA FANTIN |
| Practice Address |
9425 N Nevada St Ste 300 Spokane WA 99218-1286 |
| Practice Telephone | 5092700065 |
| Practice Fax Number | 5093192520 |
| Mailing Telephone | 5092700065 |
| Mailing Fax Number | 5093192520 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-07-31 |
| NPI Deactivation Date | 04/02/2020 |
| NPI Reactivation Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | SLP | SI61064749 | 01 |
| WA | SLP | 1154959484 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1421 W Highline Ln, Spokane, WA 992011910 | 4254460640 |
| Street Address |
9425 N NEVADA ST STE 300 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330992 | Bryan Donald Cress | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2019-01-30 |
| 1043822372 | Bryan Scott Lebo | Clinic/Center | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-08-18 |
| 1497376784 | Leah Powell | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| 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 |
|---|---|---|---|---|
| 1982228011 | Kelli Flanigan | Speech-Language Pathologist | 702 E Golden Rd, Spokane, WA 99208-7568 | 2020-06-04 |
| 1811534951 | Shelby Jean O'banion | Speech-Language Pathologist | 3737 E 5th Ave, Spokane, WA 99202-5099 | 2019-12-09 |
| 1619522901 | Stephanie Mobley | Speech-Language Pathologist | 801 E 2nd Ave, Spokane, WA 99202-2225 | 2019-08-05 |
| 1548731649 | Kelly A Wiegardt | Speech-Language Pathologist | 1302 W Alice Ave, Spokane, WA 99205-2708 | 2018-12-16 |
| 1174091573 | Angela Milatz | Speech-Language Pathologist | 800 E Providence Ave, Spokane, WA 99207-2974 | 2018-11-05 |
| 1609380245 | Cindy Gleesing | Speech-Language Pathologist | 5102 N Driscoll Blvd, Spokane, WA 99205-6074 | 2017-11-17 |
| 1790298925 | Debra Michiko Hamamoto | Speech-Language Pathologist | 500 W Longfellow Ave, Spokane, WA 99205-1103 | 2017-11-09 |
| 1972015410 | Nicole Marie Heil | Speech-Language Pathologist | 3717 N Milton St, Spokane, WA 99205-2368 | 2017-10-24 |
| 1841700218 | Alicia Gallis | Speech-Language Pathologist | 3010 W Holyoke Ave, Spokane, WA 99208-4635 | 2017-10-11 |
| 1992214480 | Alicia Halley Weeks | Speech-Language Pathologist | 1523 E 16th Ave, Spokane, WA 99203-3617 | 2017-09-27 |
| Find all providers in SPOKANE | ||||
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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.