Active NPI
Samantha Everette, OTR/L
- Occupational Therapist
- Santee, CA
National Provider Identifier
1619338498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18590
- Practice address
- 8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516 - Phone
- (619) 692-0622
- NPI assigned
- Mar 8, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10204 | NC | |
| Occupational Therapist | 225X00000X | 18590 | CA | Primary |
Addresses
Primary practice location
8840 N Magnolia Ave Ste 220
Santee, CA 92071-4516
Mailing address
1744 Kenwell St
San Diego, CA 92139-1003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619338498 | Medicaid | NC |
Other names 1
- Samantha Bivins
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10204 | NC | MD | General Practice Dentistry |
| 18590 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kara Dodds and Associates, Inc | Occupational Therapist | Past | Accepting new patients |
| Kara Dodds and Associates, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1114000205
Occupational Therapist
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1518056001
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1619338498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 KENWELL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921391003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 N MAGNOLIA AVE STE 220",
"city": "SANTEE",
"state": "CA",
"postal_code": "920714516",
"telephone_number": "619-692-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETTE",
"first_name": "SAMANTHA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10204",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619338498",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "BIVINS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.