Individual provider Active NPI

Samantha Martin, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1316468465
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174981 Issued in VA
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

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 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
I20171017001304 VA Practitioner - Nurse Practitioner 9436425600 Reassigns benefits to 2 organizations
I20200818000025 DC Practitioner - Nurse Practitioner 9436425600

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
Commonwealth Dermatology PCGroup PAC ID 6002872553, 14 clinicians

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

LicenseStateTypeSpecialty
0024174981VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC CurrentSince Dec 31, 2020 Accepting new patients
Commonwealth Dermatology, PC Family CurrentSince Mar 29, 2021 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

Verify at the official NPI Registry.