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SAMANTHA ALEXIS KATHERINE SHANDS CCC-SLP
NPI 1992542526
Speech-Language Pathologist in Arden Hills, MN

Active since July 11, 2024
6 PINE TREE DR, ARDEN HILLS, MN 55112(651) 639-0942 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha Alexis Katherine Shands Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ALEXIS KATHERINE SHANDS CCC-SLP (NPI 1992542526) is an individual speech-language pathologist provider in Arden Hills, Minnesota, licensed in Minnesota (528623) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1992542526
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSAMANTHA ALEXIS KATHERINE SHANDSCredential: CCC-SLP
Location Address6 PINE TREE DRArden Hills, MN 55112-3745
Mailing Address6 Pine Tree DrArden Hills, MN 55112-3745 · (651) 639-0942
Phone(651) 639-0942
Sole ProprietorNo
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1992542526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 528623
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.
6 PINE TREE DR, Arden Hills, MN 55112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Alexis Katherine Shands Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samantha Shands reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Speech And Language Specialists LLC
8.0 mi
Speech-Language Pathologist
561 W 7TH ST
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 16 clinicians in this Medicare group
NPI 1881636223 (651) 225-4558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL RAE MICKELSON MS,CCC-SLP
Speech-Language Pathologist
6 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 639-0942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Shands's NPI number?

The NPI number for Samantha Shands is 1992542526. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Samantha Shands located?

Samantha Shands practices at 6 Pine Tree Dr, Arden Hills, MN 55112. The listed phone number is (651) 639-0942.

What is Samantha Shands's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Samantha Shands enrolled in Medicare?

Yes. Samantha Shands is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Shands's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shands reassigns Medicare benefits to Associated Speech And Language Specialists LLC (St Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Shands's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Shands was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.