Active NPI
Latoya Samuel, HLPC, RC, RCI
- Prosthetic/Orthotic Supplier
- Columbia, SC
National Provider Identifier
1497330666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 1220 Bower Pkwy Ste E5
Columbia, SC 29212-3729 - Phone
- (803) 206-9568
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 61285 | SC | |
| Prosthetic/Orthotic Supplier | 335E00000X | SC | Primary |
Addresses
Primary practice location
1220 Bower Pkwy Ste E5
Columbia, SC 29212-3729
Mailing address
1220 Bower Pkwy Ste E5
Columbia, SC 29212-3729
Phone (803) 206-9568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61285 | Other | SC | COSMETOLOGY |
| 35267 | Other | SC | COSMETOLOGY INSTRUCTOR |
| 7247 | Other | SC | HAIR LOSS PRACTIONER CERTIFICATION |
Other names 1
- Prof. Latoya Samuel
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": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635033600000",
"number": "1497330666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 BOWER PKWY STE E5",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292123729",
"telephone_number": "803-206-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 BOWER PKWY STE E5",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292123729",
"telephone_number": "803-206-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "LATOYA",
"name_prefix": "Ms.",
"credential": "HLPC, RC, RCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-10-24",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "SC",
"license": "61285",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSMETOLOGY",
"identifier": "61285",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSMETOLOGY INSTRUCTOR",
"identifier": "35267",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAIR LOSS PRACTIONER CERTIFICATION",
"identifier": "7247",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LATOYA",
"last_name": "SAMUEL",
"prefix": "PROF.",
"credential": "RC.61285, RCI. 35267",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.