SAMANTHA JO HANES (NPI# 1164086179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164086179 |
| Entity Type | Individual |
| Full Name | SAMANTHA JO HANES |
| Credential | M.A. CCC-SLP |
| Practice Address |
615 Ridge Rd Roxboro NC 27573-4629 |
| Practice Telephone | 8143896941 |
| Mailing Telephone | 8143896941 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-05-30 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Erwin Road, Durham, NC 277104629 | 9196843859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427340934 | Samantha Razavi Hanes | Nurse Practitioner | 3627 University Blvd S, Suite 700, Jacksonville, FL 32216-4230 | 2011-05-03 |
| Street Address |
615 RIDGE RD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760469282 | Alesa Mcdowell Eanes | Dietitian, Registered | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2005-12-27 |
| 1912529819 | Esther Amprofi | Nurse Practitioner | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2020-05-13 |
| 1831722503 | Nadine Kundimana Minani | Physician Assistant | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2020-02-20 |
| 1932769536 | Jon Dinozzi | Nurse Practitioner | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2019-06-17 |
| 1245899616 | Angela Yvette Blackburn | Hospitalist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2019-06-10 |
| 1053876565 | Erica Eileen Luna | Occupational Therapist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2019-02-08 |
| 1003300294 | Amy Katherine Arnette | Physical Therapist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2018-06-20 |
| 1689166332 | Krystal Speights | Speech-Language Pathologist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2018-05-30 |
| 1942725668 | Sarah Sorenson | Occupational Therapist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2017-08-03 |
| 1215465331 | Amanda Patanio | Occupational Therapy Assistant | 615 Ridge Rd, Person Memorial Hospital, Roxboro, NC 27573 | 2017-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| 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 |
|---|---|---|---|---|
| 1689166332 | Krystal Speights | Speech-Language Pathologist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2018-05-30 |
| 1972035525 | Mary Elizabeth Bardin | Speech-Language Pathologist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2017-04-03 |
| 1811345812 | Courtney Roberts | Speech-Language Pathologist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2016-05-31 |
| 1871984195 | Tracy Nelson Roller | Speech-Language Pathologist | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2015-02-09 |
| 1366880445 | Holly Williams | Speech-Language Pathologist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2013-06-11 |
| 1619243052 | Amanda Albert | Speech-Language Pathologist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2012-03-29 |
| 1134368657 | Erin Lynn Carter | Speech-Language Pathologist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2009-02-05 |
| 1477738011 | Jennifer R Gay | Speech-Language Pathologist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2008-01-02 |
| 1568668986 | Leah Joy Hatch | Speech-Language Pathologist | 901 Ridge Rd, Roxboro, NC 27573-4511 | 2007-06-22 |
| 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 |
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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.