Samantha Raquel Diaz, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW010519 Issued in PA

Practice address

225 Grandview Ave Ste 302
Camp Hill, PA 17011-1729

Phone

(717) 988-9015

NPI assigned

Mar 13, 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

Other names 1

• Samantha Raquel Gaud Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgaud288208@upmc.direct-ci.com

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Avis, PA
  • NPI 1053827691
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  • Internal Medicine Physician
  • Hanover, PA
  • NPI 1851879639
  NPD
• Pinnacle Health Medical Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Mechanicsburg, PA
  • NPI 1518918523
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1043779697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GRANDVIEW AVE STE 302",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111729",
            "telephone_number": "717-988-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GRANDVIEW AVE STE 302",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111729",
            "telephone_number": "717-988-9015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Good Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251233",
            "country_code": "US",
            "telephone_number": "717-988-9015",
            "fax_number": "717-221-5410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Dunwoody Dr",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159565",
            "country_code": "US",
            "telephone_number": "717-988-9015",
            "fax_number": "717-221-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SAMANTHA",
        "middle_name": "RAQUEL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgaud177279@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "423 N 21st St Ste 202",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgaud211265@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1824 Good Hope Rd",
            "city": "Enola",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170251233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GAUD",
            "middle_name": "RAQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harjot Dhaliwal
• Jasdip Dhaliwal, D.D.S
• Sunny Di Florio, MA, LPC
• Aisatou Diallo, M.D
• Dialysis Care Center Camp Hill Home LLC
• Sarah Lea Diaz, RN
• Kira Dicato, MA, LPC
• Jorge M Diduszyn, M.D.
• Rebecca Diehm
• Angela D Dietrich

• Advanced Practice Midwife in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Advanced Practice Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.