Individual provider Active NPI

Sharon Sama

  • Psychiatric/Mental Health Nurse Practitioner
  • Anna, TX
National Provider Identifier
1265070288
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
59929 Issued in NM
Practice address
3204 Lakeshore Dr
Anna, TX 75409-3670
Phone
(405) 503-1015
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 59929 NM Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144391 TX

Addresses

Primary practice location

3204 Lakeshore Dr
Anna, TX 75409-3670

Mailing address

3204 Lakeshore Dr
Anna, TX 75409-3670
Phone (405) 503-1015

Other practice location 1

659 Junction Dr Apt D434
Allen, TX 75013-5143
Phone (405) 503-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20200617000375 NM Practitioner - Nurse Practitioner 8527280387 Reassigns benefits to 2 organizations
I20251219004060 TX Practitioner - Nurse Practitioner 8527280387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Krossroads Integrative Health and Recovery Solutions IncGroup PAC ID 6901276237, 12 clinicians

Practice addresses (Care Compare)

6 Calle Medico
Suite 1
Santa Fe, NM 87505-4761
Phone (505) 718-6776

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59929NMMDPsychiatric/Mental Health Nurse Practitioner
AP144391TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Oct 12, 2025 Accepting new patients
Nurturing Minds Behavioral Health LLC CurrentSince Nov 11, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 8, 2020 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 8, 2020 Accepting new patients
Shatiff Pharmacy Inc PastSince Jul 1, 2013 Accepting new patients

Locations

8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200

400 Gold Ave SW
Ste 1300E
Albuquerque, NM 87102

400 Gold Ave SW
Ste 1300
Albuquerque, NM 87102
Phone (505) 602-2928

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

721 5th St
Las Vegas, NM 87701
Phone (505) 425-1533

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1265070288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 LAKESHORE DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754093670",
            "telephone_number": "405-503-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 LAKESHORE DR",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754093670",
            "telephone_number": "405-503-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "659 Junction Dr Apt D434",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750135143",
            "country_code": "US",
            "telephone_number": "405-503-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMA",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "59929",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

Verify at the official NPI Registry.