Active NPI
Samantha B McCarey, NP
- Family Nurse Practitioner
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP135367
- Practice address
- 208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789 - Phone
- (979) 297-4507
- Fax
- (979) 480-9074
- NPI assigned
- Oct 25, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP135367 | TX | Primary |
Addresses
Primary practice location
208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Mailing address
208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Phone (979) 297-4507
Other names 1
- Samantha D Gonzalez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 Oak Dr S
Suite 502
Lake Jackson, TX 77566-5789
Phone (979) 297-4507
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135367 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William E Burns Jr M D, PLLC | Current | Accepting new patients | |
| Procenture LLC | Current | Accepting new patients | |
| Options Urgent Care & Wellness Center LLC | Current | Accepting new patients | |
| Henry E. Martinez MD, PA | Past | Accepting new patients |
Locations
2311 Canal St
Ste 214
Houston, TX 77003
Phone (281) 915-1630
201 Oak Dr S
Ste 101
Lake Jackson, TX 77566
Phone (979) 297-3098
208 Oak Dr S
Ste 502
Lake Jackson, TX 77566
Phone (979) 285-2273
201 Oak Dr S
Ste 203
Lake Jackson, TX 77566
Phone (979) 297-4507
Interoperability endpoints
- smccarey457550@direct.stlukeshealth.org
- https://fhir4.healow.com/fhir/r4/GHBCBD
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.
-
- Family Medicine Physician
- Lake Jackson, TX
- NPI 1225466253
-
- Family Medicine Physician
- Lake Jackson, TX
- NPI 1881680338
-
- Urgent Care Clinic/Center
- Lake Jackson, TX
- NPI 1174751564
-
- Internal Medicine Physician
- Houston, TX
- NPI 1508377599
-
- Specialist
- Lake Jackson, TX
- NPI 1669696738
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brazosport Memorial Hospital &Brazosport Regional Health System
- General Acute Care Hospital
- Lake Jackson, TX
- NPI 1972581940
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729900800000",
"number": "1316459704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 OAK DR S STE 502",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665789",
"telephone_number": "979-297-4507",
"fax_number": "979-480-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 OAK DR S STE 502",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665789",
"telephone_number": "979-297-4507",
"fax_number": "979-480-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAREY",
"first_name": "SAMANTHA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "GONZALEZ",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake Jackson, TX
- Clinton Matkins, DDS
- Christi M Matteck, RDH
- Maureen J Meehl Bipolar/BPD Founation (The Meehl Foundation)
- John A Maxwell, M.D.
- Max Carroll Mays, DDS
- Jamee Lowery McClure, SLP
- McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
- Ashton Marie McDonald, MS,LPA
- Shawn Michael McFaddin, PT
- John Kevin McGrory, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.