Individual provider Active NPI

Samantha M Piazza, APRN

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1245631548
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5836 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-5860
NPI assigned
Sep 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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 5836 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

204 Valley View Dr
Meriden, CT 06450-4720
Phone (508) 826-2787

Other names 1

  • Miss Samantha M Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141119002554 CT Practitioner - Nurse Practitioner 6305068784 Reassigns benefits to 1 organization
I20230830003816 MA Practitioner - Nurse Practitioner 6305068784 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Umass Memorial Medical Center, Inc. CurrentSince Aug 3, 2023 Accepting new patients
Umass Memorial Medical Center, Inc. CurrentSince Aug 3, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 1, 2023 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Oct 6, 2014 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: spiazza245334@umassmemorial.direct-ci.com

Organizations & group practices 5

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": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1245631548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 VALLEY VIEW DR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504720",
            "telephone_number": "508-826-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIAZZA",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WARD",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.