Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Samantha Kemlock , MS CCC-SLP

Speech-Language Pathologist β€’ Henderson, NV

Active NPI 1255938270 Individual Practitioner Female Practitioner
Practice location in NPPES

2490 Paseo Verde Pkwy Ste 155
Henderson, NV 890747121

Call 7025154009 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2490 Paseo Verde Pkwy Ste 155

Henderson, NV 890747121

Telephone 7025154009
Fax 7025523438
Organization at the Same NPPES Address or Phone
Speakeasy Therapy Services, Llc Facility NPI 1801627823

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Henderson and Nevada

105 active clinicians are listed under Speech-Language Pathologist with a practice address in Henderson, NV (903 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Henderson

0% of these 105 clinicians have the CMS telehealth indicator.

3.8% of these 105 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NV SP-2839

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 07, 2022

Registered at 2490 PASEO VERDE PKWY STE 155, HENDERSON, NV 890747121 (Tel: 7025154009)

πŸ‘€
Provider Name / Credentials Updated December 07, 2022

Recorded as SAMANTHA KEMLOCK, MS CCC-SLP

βœ…
NPI Profile Active October 02, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 02, 2020

Registered at 2490 PASEO VERDE PKWY STE 115, HENDERSON, NV 890747121 (Tel: 7025154009)

πŸ“
Business Mailing Address (Initial Record) October 02, 2020

Registered at 7425 W AZURE DR STE 140, LAS VEGAS, NV 891304425 (Tel: 7025154009)

πŸ‘€
Provider Name / Credentials (Initial Record) October 02, 2020

Recorded as SAMANTHA GREGORY, MS CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Speech-Language Pathologist (license number reported to NPPES: NV SP-2839)

🟒
Initial NPI Registration & Enumeration October 02, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1255938270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2020
Last Update: December 07, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Henderson

All Speech-Language Pathologists in Henderson

Mailing Address

7425 W Azure Dr Ste 140

Las Vegas, NV 891304425

Phone: 7025154009

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.