Samantha Larae Feagins

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201906305 Issued in OR

Practice address

722 NE 162ND Ave
Portland, OR 97230-5760

Phone

(503) 239-8101

NPI assigned

Aug 4, 2019

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

State licenses

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1841845153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 NE 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322809",
            "telephone_number": "503-239-8101",
            "fax_number": "503-408-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NE 162ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305760",
            "telephone_number": "503-239-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGINS",
        "first_name": "SAMANTHA",
        "middle_name": "LARAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201906305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Elizabeth Fazal, LMFT
• Hannah Fazendin, LMT
• Sergio Fazio, MD, PHD
• Erica Bernadette Fazzini, PA-C
• FDS Alliance Residential LLC
• Forrest Wayne Fearington, MD
• James Douglas Fearl, JAMES FEARL
• Fearless With Food, LLC
• Bruce Wayne Feathers
• Amanda Ruth Feaver, MA

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.