Active NPI
Samantha Lynn Nesthus, MS, OTR/L
- Pediatric Occupational Therapist
- Irvine, CA
National Provider Identifier
1235420464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 13593
- Practice address
- 16631 Noyes Ave
Irvine, CA 92606-5138 - Phone
- (949) 252-9946
- NPI assigned
- Apr 21, 2011
- Last updated
- Dec 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 13593 | CA | Primary |
Addresses
Primary practice location
16631 Noyes Ave
Irvine, CA 92606-5138
Mailing address
16631 Noyes Ave
Irvine, CA 92606-5138
Phone (949) 252-9946
Other names 1
- Miss Samantha Lynn Beaumont
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irvine Therapy Services, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1235420464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16631 NOYES AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926065138",
"telephone_number": "949-252-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16631 NOYES AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926065138",
"telephone_number": "949-252-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTHUS",
"first_name": "SAMANTHA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "13593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "BEAUMONT",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.