Samantha Nicole Hignell-Stark, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

510 NE Dekum St
Portland, OR 97211-2926

Phone

(541) 953-1051

NPI assigned

Nov 26, 2017

Sex

Female

Sole proprietor

No

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

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.

• Waywest Massage

  • Massage Therapist
  • Portland, OR
  • NPI 1366994733
  NPD (past)

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1245744424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NE DEKUM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112926",
            "telephone_number": "541-953-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGNELL-STARK",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rose Higham, LMT
• Higher Heart Psychology LLC
• Dana Highfill, LMT
• Rachael Highton, PHARMD
• Ann L Hightower, MD
• Clifford Higuchi, QMHA
• Alfredo Higueras
• David C Hikes, MD
• Nour Hilal, DDS
• Hilary Simila, L.Ac LLC

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.