Active NPI
Samantha Martin, FNP-C
- Family Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024174981
- Practice address
- 7001 Forest Ave Ste 400
Richmond, VA 23230-1726 - Phone
- (804) 282-0831
- NPI assigned
- Jun 29, 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 | 0024174981 | VA | Primary |
Addresses
Primary practice location
7001 Forest Ave Ste 400
Richmond, VA 23230-1726
Mailing address
7001 Forest Ave Ste 400
Richmond, VA 23230-1726
Phone (804) 814-8865
Other practice location 1
7813 Shrader Rd
Henrico, VA 23294-4210
Phone (804) 264-4545
Other practice location 2
1975 Jefferson Davis Hwy
Fredericksburg, VA 22401-5298
Phone (540) 373-6647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
7001 Forest Ave
Suite 400
Richmond, VA 23230-1726
Phone (804) 282-0831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174981 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Dermatology, SC | Current | Accepting new patients | |
| Commonwealth Dermatology, PC | Family | Current | Accepting new patients |
Locations
2616 Sherwood Hall Ln
Alexandria, VA 22306
Phone (540) 373-6647
7001 Forest Ave
Ste 300
Richmond, VA 23230
Phone (804) 282-0831
7001 Forest Ave
Ste 400
Richmond, VA 23230
Phone (804) 282-0831
385 Garrisonville Rd
Ste 205
Stafford, VA 22554
Phone (540) 373-6647
1982 Opitz Blvd
Woodbridge, VA 22191
Phone (540) 373-6647
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1316468465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 FOREST AVE STE 400",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301726",
"telephone_number": "804-814-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 FOREST AVE STE 400",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301726",
"telephone_number": "804-282-0831"
}
],
"practiceLocations": [
{
"address_1": "7813 Shrader Rd",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232944210",
"country_code": "US",
"telephone_number": "804-264-4545",
"fax_number": "804-264-4260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1975 Jefferson Davis Hwy",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224015298",
"country_code": "US",
"telephone_number": "540-373-6647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "SAMANTHA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024174981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.