Samantha Smith, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60183928 Issued in WA

Practice address

6808 220TH St SW
Suite 203
Mountlake Terrace, WA 98043-2187

Phone

(425) 776-1056

Fax

(425) 776-4357

NPI assigned

Jul 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1184031007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW",
            "address_2": "SUITE 203",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "425-776-1056",
            "fax_number": "425-776-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW",
            "address_2": "SUITE 203",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "425-776-1056",
            "fax_number": "425-776-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60183928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meladine E Siu
• Skye White MSW Licsw PLLC
• Robert H. Small, M.D.
• Angla A Smith
• Robyn Ann Smith, CDP
• Rayson Takeshi Sorayama, PT
• Jennifer Ellyn Souders, M.D.
• Sound Pain Alliance
• Mustafa Lutfi M Sowan, PH
• Rebecca Keil Spang, MOTR/L

• Specialist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.