Individual provider Active NPI

Samantha Evelyne Evans Rayack, ND, CPM

  • Naturopath
  • Eugene, OR
National Provider Identifier
1134499965
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4039 Issued in OR
Practice address
1471 Pearl St Ste 2
Eugene, OR 97401-4603
Phone
(541) 338-9494
Fax
(541) 338-8496
NPI assigned
Jan 10, 2012
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4039 OR Primary

Addresses

Primary practice location

1471 Pearl St Ste 2
Eugene, OR 97401-4603

Mailing address

1471 Pearl St Ste 2
Eugene, OR 97401-4603
Phone (541) 338-9494

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
4039ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Healthcare PC Naturopath Past Accepting new patients
Acupuncture by Tom Etges, MD, LLC Past Accepting new patients
Deep Roots Family Medicine Naturopath Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1134499965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 PEARL ST STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014603",
            "telephone_number": "541-338-9494",
            "fax_number": "541-338-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 PEARL ST STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014603",
            "telephone_number": "541-338-9494",
            "fax_number": "541-338-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS RAYACK",
        "first_name": "SAMANTHA",
        "middle_name": "EVELYNE",
        "name_prefix": "Dr.",
        "credential": "ND, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.