Individual provider Active NPI

Samantha Lee Namenyi

  • Massage Therapist
  • Parker, CO
National Provider Identifier
1124635776
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0021743 Issued in CO
Practice address
45690 Coal Creek Rd
Parker, CO 80138-4405
Phone
(352) 229-3104
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X CO
Massage Therapist 225700000X MT.0021743 CO Primary

Addresses

Primary practice location

45690 Coal Creek Rd
Parker, CO 80138-4405

Mailing address

45690 Coal Creek Rd
Parker, CO 80138-4405
Phone (352) 229-3104

Other practice location 1

45690 Coal Creek Rd
Parker, CO 80138-4405
Phone (352) 229-3104

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SOAP

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
MT.0021743COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1124635776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45690 COAL CREEK RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801384405",
            "telephone_number": "352-229-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45690 COAL CREEK RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801384405",
            "telephone_number": "352-229-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45690 Coal Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801384405",
            "country_code": "US",
            "telephone_number": "352-229-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMENYI",
        "first_name": "SAMANTHA LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0021743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "address_1": "45690 Coal Creek Rd",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801384405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.