Active NPI
Samantha Ann Stewart
- Family Nurse Practitioner
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016307
- Practice address
- 205 Pike St
Covington, KY 41011-2321 - Phone
- (901) 482-9567
- NPI assigned
- Jun 19, 2014
- Last updated
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016307 | KY | Primary |
| Family Nurse Practitioner | 363LF0000X | 18794 | TN | |
| Family Nurse Practitioner | 363LF0000X | 0031132 | OH |
Addresses
Primary practice location
205 Pike St
Covington, KY 41011-2321
Mailing address
3546 Linwood Ave
Cincinnati, OH 45226-1402
Phone (901) 482-9567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Abbot Rd
East Lansing, MI 48823-3366
Phone 24852821166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016307 | KY | MD | Family Nurse Practitioner |
| 0031132 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsight, Inc. | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Onsight, Inc. | Current | Accepting new patients | |
| Onsight, Inc. | Current | Accepting new patients | |
| Giaimo Mobile Podiatry of WV PLLC | Past | Accepting new patients |
Locations
2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990
601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166
1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- East Lansing, MI
- NPI 1821248568
-
- Audiologist
- East Lansing, MI
- NPI 1275861254
-
- Dentist
- East Lansing, MI
- NPI 1730339474
-
- Podiatrist
- Charleston, WV
- NPI 1386183473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1063826840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3546 LINWOOD AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452261402",
"telephone_number": "901-482-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PIKE ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410112321",
"telephone_number": "901-482-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SAMANTHA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016307",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18794",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0031132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.