Samantha Jo Buchanan-Northup, MSTCM L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5402000031 Issued in MI

Practice address

17770 Mack Ave
Grosse Pointe, MI 48230

Phone

(313) 924-5514

NPI assigned

Jan 17, 2019

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pointe Integrative

  • Acupuncturist
  • Grosse Pointe, MI
  • NPI 1467109207
  NPD Authorized official
• Dragon Rising Chinese Medicine

  • Acupuncturist
  • Fair Oaks, CA
  • NPI 1285915009
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1114491693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17770 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-924-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17770 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-924-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN-NORTHUP",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "MSTCM L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2023-05-10",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17303",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5402000031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Bortnem, OTR/L
• Julie W. Brewster, LMSW
• Mary Theresa Briggs
• Noah Bryant, M.D.
• BSC Pathology Associates PC
• Jeri Buckley, DNP, ARNP, FNP-BC
• Carol L Burke, CRNA
• Butler Medical Holdings PLLC
• Barika Marise Butler-Quarles, MD
• C. Miles Sterling Psy.D. PC

• Acupuncturist in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.