Samantha Ann Siebe

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

516 10TH St NE
Minot, ND 58703-2740

Phone

(314) 305-0485

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1538828801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 10TH ST NE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032740",
            "telephone_number": "314-305-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 10TH ST NE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032740",
            "telephone_number": "314-305-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBE",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.noterro.com",
            "affiliation": "Y",
            "affiliationName": "Essence Holistic Health and Massage, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Keep required records",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client records",
            "address_1": "516 10th St NE",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587032740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.