Samantha Joline Fox, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024177445 Issued in VA

Practice address

300 Moore St Ste B
Bristol, VA 24201-4495

Phone

(276) 591-5448

NPI assigned

May 1, 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

Enrolled in VA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Minds Psychiatric and MentalGroup PAC ID 4082085667, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Minds Psychiatric and Mental

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, TN
  • NPI 1598476681
  Medicare reassignment Care Compare group NPD
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bristol, VA
  • NPI 1730756131
  NPD
• Muncy Spinal Institute LLC

  • Chiropractor
  • Bristol, VA
  • NPI 1144367046
  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1023673407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 CARLISLE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602531",
            "telephone_number": "423-367-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOORE ST STE B",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014495",
            "telephone_number": "276-591-5448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Carlisle Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376602531",
            "country_code": "US",
            "telephone_number": "423-367-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "SAMANTHA",
        "middle_name": "JOLINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise M Fisher, LPC
• Karen Lavonne Ford
• Clark Forster
• Fort Shelby Manor
• Foundations Integrated Medical & Sports Health, LLC
• Bethany P France
• Leanna Morgan Francisco
• Melissa Shirlrae Franklin, FNP
• Hayden M Frechette, OD
• Free Will Baptist Family Ministries, Inc.

• Nurse Practitioner in Bristol, VA
• Providers in Bristol, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.