Active NPI
Samantha Le, APRN CPNP
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1194492124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1022613
- Practice address
- 1919 S Braeswood Blvd Ste 5330
Houston, TX 77030-4466 - Phone
- (832) 827-4000
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1022613 | TX | Primary |
Addresses
Primary practice location
1919 S Braeswood Blvd Ste 5330
Houston, TX 77030-4466
Mailing address
12406 S Shadow Cove Dr
Houston, TX 77082-5655
Phone (281) 730-9446
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220526000088 | TX | Practitioner - Nurse Practitioner | 1658759097 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022613 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Current | Accepting new patients |
Locations
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
1102 Bates Ave
Ste 1440
Houston, TX 77030
Phone (832) 824-1065
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- sle141271@prddirect.texaschildrens.org
Organizations & group practices 1
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": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1194492124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12406 S SHADOW COVE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770825655",
"telephone_number": "281-730-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S BRAESWOOD BLVD STE 5330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304466",
"telephone_number": "832-827-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "SAMANTHA",
"credential": "APRN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1022613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.