Individual provider Active NPI

Samantha Stoneback, LAC, LMT

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1912864836
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC02245 Issued in TX
Practice address
3625 Menchaca Rd Ste 202
Austin, TX 78704-5912
Phone
(541) 815-2028
NPI assigned
Jan 5, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT135316 TX
Acupuncturist 171100000X AC02245 TX Primary

Addresses

Primary practice location

3625 Menchaca Rd Ste 202
Austin, TX 78704-5912

Mailing address

130 Shagbark TRL
Bastrop, TX 78602-2271
Phone (541) 815-2028

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

LicenseStateTypeSpecialty
AC02245TXMDAcupuncturist
MT135316TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1912864836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SHAGBARK TRL",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786022271",
            "telephone_number": "541-815-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MENCHACA RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045912",
            "telephone_number": "541-815-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBACK",
        "first_name": "SAMANTHA",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT135316",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC02245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.