Active NPI
Samantha Myer, LMT
- Registered Dietitian
- Chehalis, WA
National Provider Identifier
1801308879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86329307
- Practice address
- 34 NE Boistfort St Ste 105
Chehalis, WA 98532-2600 - Phone
- (360) 559-1260
- NPI assigned
- Oct 31, 2017
- Last updated
- Sep 28, 2026
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86329307 | WA | Primary |
| Massage Therapist | 225700000X | MA60791815 | WA |
Addresses
Primary practice location
34 NE Boistfort St Ste 105
Chehalis, WA 98532-2600
Mailing address
642 NW Folsom St
Chehalis, WA 98532-1702
Phone (360) 520-1649
Other practice location 1
2530 NE Kresky Ave Ste B
Chehalis, WA 98532-2406
Phone (360) 529-0319
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 |
|---|---|---|---|
| MA60791815 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholesome Corps LLC | Massage Therapist | Current | Accepting new patients |
| Peak Sports & Spine Physical Therapy-Renton, P.S. | Past | Accepting new patients | |
| Medical Massage Inc | Massage Therapist | Past | Accepting new patients |
Locations
34 NE Boistfort St
Ste 105
Chehalis, WA 98532
Phone (360) 559-1260
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Centralia, WA
- NPI 1902115371
-
- Physical Therapist
- Renton, WA
- NPI 1841388618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1801308879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 NW FOLSOM ST",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985321702",
"telephone_number": "360-520-1649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 NE BOISTFORT ST STE 105",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322600",
"telephone_number": "360-559-1260"
}
],
"practiceLocations": [
{
"address_1": "2530 NE Kresky Ave Ste B",
"address_purpose": "LOCATION",
"city": "Chehalis",
"state": "WA",
"postal_code": "985322406",
"country_code": "US",
"telephone_number": "360-529-0319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYER",
"first_name": "SAMANTHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "86329307",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60791815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.