Samantha H Taylor, RN, LMT, BCTMB

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

NUR R 16194 Issued in AK

Practice address

11723 Old Glenn Hwy
Suite 205
Eagle River, AK 99577-7748

Phone

(907) 350-3510

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1427457365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771326",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995771326",
            "telephone_number": "907-350-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY",
            "address_2": "SUITE 205",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777748",
            "telephone_number": "907-350-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMANTHA",
        "middle_name": "H",
        "credential": "RN, LMT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "AK",
            "license": "NUR R 16194",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Massage Therapist (NMT) in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Nurse Massage Therapist (NMT) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.