Samantha Nicole Ake
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN
NPI 1295543361 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1295543361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 340 W 10TH St
Indianapolis, IN 46202-3082 - Phone
- (219) 851-6102
- NPI assigned
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250729001987 | MI | Order and Referring Only - Psychiatry |
7810404431 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
340 W 10TH St
Indianapolis, IN 46202-3082
Mailing address
340 W 10TH St
Indianapolis, IN 46202-3082
Phone (219) 851-6102
Other providers in Indianapolis, IN
- Muhammad Akbar
- Yolunda Akbar
- Zain Akbar
- Amal Akbik
- Alexander James Ake
- Mohamad Bisher Akel
- Aken Home Health LLC
- Jacqueline Akers
- Jamie Rose Akers
- Tanya Akers
All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.