Active NPI
Samantha M Reed, APRN
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1245858794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11007947
- Practice address
- 920 S Myrtle Ave Ste a
Clearwater, FL 33756-3916 - Phone
- (727) 462-0444
- NPI assigned
- Jul 10, 2020
- Last updated
- Jan 4, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11007947 | FL | Primary |
Addresses
Primary practice location
920 S Myrtle Ave Ste a
Clearwater, FL 33756-3916
Mailing address
3001 Executive Dr Ste 130
Clearwater, FL 33762-5323
Phone (727) 347-0005
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007947 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Florida Pharmacy, LLC | Current | Accepting new patients | |
| Advanced Digestive Care P a | Current | Accepting new patients |
Locations
3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371
920 S Myrtle Ave
Ste A
Clearwater, FL 33756
Phone (727) 462-0444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1962569111
-
- Pharmacy
- Clearwater, FL
- NPI 1285272815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1245858794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EXECUTIVE DR STE 130",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337625323",
"telephone_number": "727-347-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S MYRTLE AVE STE A",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563916",
"telephone_number": "727-462-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "SAMANTHA",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11007947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.