NPIMap

Individual provider Active NPI

Samantha J Wood, FNP

  • Family Nurse Practitioner
  • Winnsboro, LA
National Provider Identifier
1053922674
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213748 Issued in LA
Practice address
2104 Loop Rd Ste C
Winnsboro, LA 71295-3341
Phone
(318) 435-4571
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213748 LA Primary

Addresses

Primary practice location

2104 Loop Rd Ste C
Winnsboro, LA 71295-3341

Mailing address

PO Box 1300
Winnsboro, LA 71295-1300
Phone (318) 435-9411

Other identifiers 3

IdentifierTypeStateIssuer
2547798MedicaidLA
MEDICAREOtherLA1J3802
14953599OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119003369 LA Practitioner - Nurse Practitioner 1759792914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Practice addresses (Care Compare)

2106 Loop Rd
Winnsboro, LA 71295-1300

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

PO Box
Suite 1300
Winnsboro, LA 71295

Hospital & facility affiliations

  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
  • Citizens Medical Center Hospital, Columbia, LA, CCN 190184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Apr 11, 2025 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Oct 30, 2020 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Oct 30, 2020 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Apr 11, 2025 Accepting new patients
Franklin Parish Hospital Past Accepting new patients

Locations

484 Collins Rd
Columbia, LA 71418
Phone (314) 649-5300

554 Collins Rd
Columbia, LA 71418
Phone (318) 649-5300

104 Verona St
Newellton, LA 71357
Phone (318) 467-2349

448 Newton St
Saint Joseph, LA 71366
Phone (318) 412-5265

5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1053922674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712951300",
            "telephone_number": "318-435-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 LOOP RD STE C",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953341",
            "telephone_number": "318-435-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2547798",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1J3802",
            "identifier": "MEDICARE",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14953599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.