Individual provider Active NPI

Daunett Samuda, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1083661235
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN52291 Issued in DC
Practice address
2041 Georgia Ave NW
Dept. of Pediatrics-6 Floor
Washington, DC 20060-0001
Phone
(202) 865-4541
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN52291 DC Primary
Family Nurse Practitioner 363LF0000X RN522-91 DC

Addresses

Primary practice location

2041 Georgia Ave NW
Dept. of Pediatrics-6 Floor
Washington, DC 20060-0001

Mailing address

2024 Georgia Ave NW
Crendentialing Dept -2ND Floor
Washington, DC 20001-3027
Phone (202) 865-6495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN522-91DCMDFamily Nurse Practitioner
RN52291DCMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1083661235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 GEORGIA AVE NW",
            "address_2": "CRENDENTIALING DEPT -2ND FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013027",
            "telephone_number": "202-865-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "DEPT. OF PEDIATRICS-6 FLOOR",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUDA",
        "first_name": "DAUNETT",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN52291",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN522-91",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.