Samantha Shoemaker

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1301 Redwood Way Ste 120
Petaluma, CA 94954-1136

Phone

(707) 806-9921

NPI assigned

Mar 18, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: sshoemaker@mbsab.com

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1366028631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY STE 120",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 REDWOOD WAY STE 120",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541136",
            "telephone_number": "707-806-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sshoemaker@mbsab.com",
            "affiliation": "N",
            "address_1": "1301 Redwood Way Ste 120",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949541136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michaela Shepphard, M.D.
• Sherian L Prince
• Sonya Shiffer, M.ED., BCBA
• Susie Shin-Calandrella, MD
• Dane Arthur Shoemaker, N.P.
• Richard A Shoninger
• Amy Shouse, LAC
• Diane Elizabeth Shrock, LMFT
• Julie L. Shulman, PH.D.
• Brian Kent Sibbald, D.D.S.

• Behavior Technician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.