Individual provider Active NPI

Samantha Liu, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1063971869
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140950 Issued in TX
Practice address
4225 Office Pkwy Ste 200
Dallas, TX 75204-3628
Phone
(469) 778-3742
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 AP140950 TX Primary

Addresses

Primary practice location

4225 Office Pkwy Ste 200
Dallas, TX 75204-3628

Mailing address

6115 Saintsbury Dr Apt 18
The Colony, TX 75056-5212
Phone (972) 762-1773

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sliu@epicpainandortho.com Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140950TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1063971869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 SAINTSBURY DR APT 18",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750565212",
            "telephone_number": "972-762-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 OFFICE PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043628",
            "telephone_number": "469-778-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SAMANTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliu@epicpainandortho.com",
            "affiliation": "N",
            "endpointDescription": "secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4225 Office Pkwy Ste 200",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752043628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.