Samantha Eliazabeth Nyberg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2181 Issued in MN

Practice address

710 E River Rd
Anoka, MN 55303-2828

Phone

(763) 421-2807

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Eskelson Enterprise, Inc.

  • Acupuncturist
  • Anoka, MN
  • NPI 1508033523
  NPD (past)

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1639959588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12033 NEVADA CT",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162220",
            "telephone_number": "763-245-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E RIVER RD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032828",
            "telephone_number": "763-421-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "SAMANTHA",
        "middle_name": "ELIAZABETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "2181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noble Cares LLC
• Saynab Ibrahim Noor
• Nordic Home Health Care Inc.
• Suzy Nuetzman
• Libbie Nyarangi
• Naomi Nystrom, PSYD, LP
• Hailey O'Como, CCC-SLP
• Sean O'Dell, DDS, MS
• Samantha Rae O'Donnell
• Linda Oberg, LMFT

• Massage Therapist in Anoka, MN
• Providers in Anoka, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.