Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710539309 Individual Practitioner Female Practitioner

Samantha June Kennedy , MSED

Speech-Language Pathologist • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Samantha Kennedy, MSED is a registered healthcare professional specializing in Speech-Language Pathologist in Buffalo, NY. Practice services are available at 780 PARKSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

780 Parkside Ave

Buffalo, NY 14216

Telephone 7168163440

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Buffalo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
450 Specialists

Practicing in Buffalo, NY (25106 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 030080

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
06256353 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Mary Ann Rusnak

Speech-Language Pathologist

NPI 1174890677
Melissa Trillo , MS ED

Speech-Language Pathologist

NPI 1487894317

Master of Science in Education

Anna Weltjen , MSED SLP

Speech-Language Pathologist

NPI 1508509704

MSEDSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 28, 2024

Registered at 780 PARKSIDE AVE, BUFFALO, NY 14216 (Tel: 7168163440)

📍
Updated Business Mailing Address August 28, 2024

Registered at 176 FRENCH LEA RD, WEST SENECA, NY 14224 (Tel: 7162924587)

👤
Provider Name / Credentials Updated August 28, 2024

Recorded as SAMANTHA KENNEDY, M.S.ED

NPI Profile Active July 12, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2019

Registered at 5544 MAIN ST FL 2, WILLIAMSVILLE, NY 142215406 (Tel: 7165803976)

📍
Updated Business Mailing Address July 12, 2019

Registered at 94 KLAUM AVE, NORTH TONAWANDA, NY 141204208 (Tel: 7162924587)

👤
Provider Name / Credentials Updated July 12, 2019

Recorded as SAMANTHA MOORE, M.S.ED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2019

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration July 12, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710539309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2019
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

176 French Lea Rd

West Seneca, NY 14224

Phone: 7162924587

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.