Individual provider Active NPI

David Sammons II, APRN

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1154897791
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012812 Issued in KY
Practice address
484 Tollage CRK
Pikeville, KY 41501-3305
Phone
(606) 230-2255
Fax
(606) 437-3001
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 3012812 KY Primary

Addresses

Primary practice location

484 Tollage CRK
Pikeville, KY 41501-3305

Mailing address

484 Tollage CRK
Pikeville, KY 41501-3305
Phone (606) 230-2255

Other practice location 1

2643 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 531-4040

Other practice location 2

822 S Mayo Trl
Paintsville, KY 41240-1384
Phone (606) 789-5541

Other practice location 3

140 Adams Ln Ste 100
Pikeville, KY 41501-3090
Phone (606) 230-2255

Other practice location 4

140 Adams Ln Ste 300
Pikeville, KY 41501-3088
Phone (606) 230-2255

Other identifiers 3

IdentifierTypeStateIssuer
1154897791MedicaidWV
1154897791MedicaidVA
7100564090MedicaidKY

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3012812KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Pediatrics of Wayland Past Accepting new patients
Compassion Services Past Accepting new patients
Compassion Pediatrics LLC Family Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19494/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.sammons.ii.1@19494.direct.athenahealth.com
  • Direct secure messaging: david.sammons.1@19494.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1154897791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 King Kelly Coleman Hwy",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "KY",
            "postal_code": "41666",
            "country_code": "US",
            "telephone_number": "606-531-4040",
            "fax_number": "606-284-2039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "822 S Mayo Trl",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401384",
            "country_code": "US",
            "telephone_number": "606-789-5541",
            "fax_number": "606-789-9445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Adams Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013090",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Adams Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013088",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "DAVID",
        "name_suffix": "II",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154897791",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154897791",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100564090",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.