Active NPI
Samantha Yvonne Huntley, ETC.
- Prosthetics Case Management
- Durham, NC
National Provider Identifier
1144428640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- C42748
- Practice address
- 2617 Durham Chapel Hill Blvd Ste 6
Durham, NC 27707 - Phone
- (919) 599-6525
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | C42748 | NC | Primary |
Addresses
Primary practice location
2617 Durham Chapel Hill Blvd Ste 6
Durham, NC 27707
Mailing address
4803 Miller Dr
Durham, NC 27704-1866
Phone (919) 599-6525
Other practice location 1
401 c East Lakewood ave.
Suite 110
Durham, NC 27707
Phone (919) 680-2620
Other practice location 2
401 c East Lakewood ave.
Suite 110
Durham, NC 27707
Phone (919) 680-2620
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
| License | State | Type | Specialty |
|---|---|---|---|
| C42748 | NC | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1144428640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4803 MILLER DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041866",
"telephone_number": "919-599-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 DURHAM CHAPEL HILL BLVD STE 6",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "919-599-6525"
}
],
"practiceLocations": [
{
"address_1": "401 c East Lakewood ave.",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "27707",
"country_code": "US",
"telephone_number": "919-680-2620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 c East Lakewood ave.",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "27707",
"country_code": "US",
"telephone_number": "919-680-2620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNTLEY",
"first_name": "SAMANTHA",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "ETC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "C42748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.