Samantha Purdy, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP135309 Issued in TX

Practice address

1005 State Highway 16 S
Graham, TX 76450-3835

Phone

(940) 282-2512

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.purdy.1@11284.direct.athenahealth.com
• Direct secure messaging: samantha.purdy.2@16039.direct.athenahealth.com

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.

• Jack County Hospital District

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  Medicare reassignment NPD
• Olney Hamilton Hospital District

  • Nurse Practitioner
  • Olney, TX
  • NPI 1801158787
  Medicare reassignment NPD
• Olney-Hamilton Hospital District

  • Critical Access Hospital
  • Olney, TX
  • NPI 1134137466
  Medicare reassignment NPD
• Jack County Hospital District

  • Rural Acute Care Hospital
  • Bowie, TX
  • NPI 1982460705
  NPD
• Olney-Hamilton Hospital District

  • Skilled Nursing Facility
  • Richardson, TX
  • NPI 1568849750
  NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1114437290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 COUNTRY CLUB DR",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764502023",
            "telephone_number": "817-706-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 STATE HIGHWAY 16 S",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503835",
            "telephone_number": "940-282-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "SAMANTHA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP135309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe W Peeks, D.C.
• Tisha Pemberton
• Peter S Brown MD PA
• Peter W Reed MD PA
• Leslee Pruitt, RN
• Navjot Kaur Randhawa, DMD
• Ray and Ray Counseling Services
• Andra Leigh Ray, ARNP, PMHNP-BC, LPC
• Bryan Ray, LPC
• RDM Home Medical, LLC

• Pediatric Nurse Practitioner in Graham, TX
• Providers in Graham, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.