Individual provider Active NPI

Samantha Cline Fluckiger

  • Home Health Aide
  • East Carbon, UT
National Provider Identifier
1063281632
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
011615001345 Issued in UT
Practice address
344 Berkley Ave
East Carbon, UT 84520-7733
Phone
(435) 299-0331
NPI assigned
Dec 25, 2023
Last updated
Dec 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 011615001345 UT Primary

Addresses

Primary practice location

344 Berkley Ave
East Carbon, UT 84520-7733

Mailing address

PO Box 87
East Carbon, UT 84520-0087
Phone (435) 299-0331

Other names 1

  • Samantha Cline Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011615001345UTMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1063281632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "EAST CARBON",
            "state": "UT",
            "postal_code": "845200087",
            "telephone_number": "435-299-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 BERKLEY AVE",
            "city": "EAST CARBON",
            "state": "UT",
            "postal_code": "845207733",
            "telephone_number": "435-299-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUCKIGER",
        "first_name": "SAMANTHA",
        "middle_name": "CLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "UT",
            "license": "011615001345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Carbon, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.