Active NPI
Samantha V. Hurd, RN
- Registered Nurse
- Redmond, OR
National Provider Identifier
1053749382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201403473RN
- Practice address
- 111 NW Larch Ave
Redmond, OR 97756-1322 - Phone
- (541) 923-4462
- Fax
- (541) 383-1883
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201403473RN | OR | Primary |
Addresses
Primary practice location
111 NW Larch Ave
Redmond, OR 97756-1322
Mailing address
600 SW Columbia St
Suite 6210
Bend, OR 97702-1099
Phone (541) 383-3005
Other names 1
- Samantha V. Cotton
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201403473RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1053749382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SW COLUMBIA ST",
"address_2": "SUITE 6210",
"city": "BEND",
"state": "OR",
"postal_code": "977021099",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NW LARCH AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561322",
"telephone_number": "541-923-4462",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "SAMANTHA",
"middle_name": "V.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201403473RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "COTTON",
"middle_name": "V.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.