Samantha Lynn Fernandez

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10130452-4701 Issued in UT

Practice address

761 W Antelope Dr
Layton, UT 84041-1630

Phone

(801) 499-6535

NPI assigned

Jan 21, 2019

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

Practice roles

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

• Oasisplus Therapies

  • Chiropractor
  • Layton, UT
  • NPI 1518632082

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1225502495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411630",
            "telephone_number": "801-499-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411630",
            "telephone_number": "801-499-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "10130452-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Morris Fennell, C.M.H.C.
• James Ashley Fennell II, M.D.
• Natalie Fenske
• Anna Ferguson
• Brigitte Ferguson
• Michael Brock Ferrin, DC
• Maggi Zsuzsanna Fessler
• Bret Robert Field
• Jason R Fife, DO
• Hannah Fifield

• Massage Therapist in Layton, UT
• Providers in Layton, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.