Darci Samuel, FNP-C, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704293837 Issued in MI

Practice address

2177 Forest Park Rd
Norton Shores, MI 49441-4517

Phone

(269) 286-2025

NPI assigned

Aug 6, 2021

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Lakes Integrative Wellness

  • Primary Care Clinic/Center
  • Norton Shores, MI
  • NPI 1679262893
  NPD Authorized official

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1336813914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 FOREST PARK RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414517",
            "telephone_number": "269-286-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 FOREST PARK RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414517",
            "telephone_number": "269-286-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "DARCI",
        "credential": "FNP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Rykse, D.C.
• Zabila Saeed, MD
• Safe Space Solutions of West Michigan
• Safeguard Pest Solutions LLC
• Chelsea Samson-Pechtel, BA
• Mary Sanchez, DPT
• Alexandria Sarber
• Rachel Sarpong, LMSW
• Christine Schanz, OTR
• Maxwell George Scheerer

• Family Nurse Practitioner in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.