Samantha Fortenberry

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

915 Washington St
Franklinton, LA 70438-1718

Phone

(985) 322-2026

Fax

(985) 839-5912

NPI assigned

May 1, 2019

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1568027928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704381718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WASHINGTON ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704381718",
            "telephone_number": "985-322-2026",
            "fax_number": "985-839-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Fletcher, APRN, CPNP
• Florida Parishes Resources for Independent Living, LLC
• Florida Parishes Resources for Independent Living, LLC
• Gerald Lee Foret, M.D.
• Candace Fortenberry
• Franklinton Assocaition for Challenged Citizens, Inc.
• Franklinton Assocaition for Challenged Citizens, Inc.
• Franklinton Association for Challenged Citizens, Inc
• Franklinton Association for Challenged Citizens, Inc.
• Franklinton Association for Challenged Citizens, Inc.

• Case Manager/Care Coordinator in Franklinton, LA
• Providers in Franklinton, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.