Individual provider Active NPI

Samantha Lyn Polston

  • Organ Procurement Organization
  • Maitland, FL
National Provider Identifier
1023993680
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Organ Procurement OrganizationTaxonomy code 335U00000X
Practice address
2301 Lucien Way Ste 325
Maitland, FL 32751-7020
Phone
(407) 308-3957
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Organ Procurement Organization 335U00000X Primary

Addresses

Primary practice location

2301 Lucien Way Ste 325
Maitland, FL 32751-7020

Mailing address

2301 Lucien Way Ste 325
Maitland, FL 32751-7020
Phone (407) 308-3957

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1023993680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LUCIEN WAY STE 325",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517020",
            "telephone_number": "407-308-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LUCIEN WAY STE 325",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517020",
            "telephone_number": "407-308-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTON",
        "first_name": "SAMANTHA",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.