Active NPI
Samantha Greenfield
- Massage Therapist
- Plymouth, MN
National Provider Identifier
1831825520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2905 Northwest Blvd Ste 230
Plymouth, MN 55441-2644 - Phone
- (612) 367-4824
- NPI assigned
- Jul 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MN | Primary |
Addresses
Primary practice location
2905 Northwest Blvd Ste 230
Plymouth, MN 55441-2644
Mailing address
2905 Northwest Blvd
Plymouth, MN 55441-7400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.wellway.com | Health Information Exchange (HIE) | Healthier People LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1831825520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 NORTHWEST BLVD",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554417400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 NORTHWEST BLVD STE 230",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412644",
"telephone_number": "612-367-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.wellway.com",
"affiliation": "Y",
"affiliationName": "Healthier People LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2905 Northwest Blvd Ste 230",
"city": "Plymouth",
"state": "MN",
"country_code": "US",
"postal_code": "554412644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.