Chanda Bernice Sams, RT

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

1000709494 Issued in KY

Practice address

301 Cedar St
Pineville, KY 40977-1403

Phone

(606) 269-7146

NPI assigned

Feb 6, 2012

Last updated

Apr 11, 2012By the provider in NPPES

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

State licenses

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.

• Maggies Enterprises LLC

  dba Log Mountain Diagnostics

  • Radiology Clinic/Center
  • Pineville, KY
  • NPI 1457480832
  Authorized official Same address or phone

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1437421492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771403",
            "telephone_number": "606-269-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771403",
            "telephone_number": "606-269-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "CHANDA",
        "middle_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "KY",
            "license": "1000709494",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rickendra Brooke Potter, OTR/L
• Matthew Scott Powers, DPT
• Right Fork Elementary School
• Grace Runions, APRN
• Rural Healthcare Developers, Inc (Patients Choice of Kentucky Transportation)
• Ashley N. Saylor, SLP
• Michael Andrew Schneider, PHARM.D
• Ruth Ann Serneels, MD
• Shock and Awe Marketing LLC
• Sky Chiropractic Accident and Injury Center

• Radiologic Technologist in Pineville, KY
• Providers in Pineville, KY by specialty
• Radiologic Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.