Active NPI
Samantha Mints
- Technician/Technologist
- Livonia, MI
National Provider Identifier
1235778663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 13973 Farmington Rd
Livonia, MI 48154-5403 - Phone
- (248) 621-4792
- NPI assigned
- Jan 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
13973 Farmington Rd
Livonia, MI 48154-5403
Mailing address
2667 Packard St
Ann Arbor, MI 48104-6830
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smints@gatewaypediatrictherapy.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1235778663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13973 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545403",
"telephone_number": "248-621-4792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smints@gatewaypediatrictherapy.com",
"affiliation": "N",
"address_1": "13973 Farmington Rd",
"city": "Livonia",
"state": "MI",
"country_code": "US",
"postal_code": "481545403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.