Individual provider Active NPI

Samantha Bonita Wilkins-Copeland, FNP-C

  • Family Nurse Practitioner
  • Dillwyn, VA
National Provider Identifier
1275134694
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180321 Issued in VA
Practice address
1522 Prison Rd
Dillwyn, VA 23936-3600
Phone
(434) 983-4200
NPI assigned
Nov 3, 2020
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28545 TN
Family Nurse Practitioner 363LF0000X 0024180321 VA Primary

Addresses

Primary practice location

1522 Prison Rd
Dillwyn, VA 23936-3600

Mailing address

1522 Prison Rd
Dillwyn, VA 23936-3600
Phone (434) 983-4200

Other names 1

  • Samantha Bonita Wilkins Former name

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

State licenses

LicenseStateTypeSpecialty
28545TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1275134694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 PRISON RD",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239363600",
            "telephone_number": "434-983-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 PRISON RD",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239363600",
            "telephone_number": "434-983-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS-COPELAND",
        "first_name": "SAMANTHA",
        "middle_name": "BONITA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28545",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WILKINS",
            "middle_name": "BONITA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dillwyn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.