Active NPI
Samantha Todd, ARNP
- Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60477359
- Practice address
- 9911 N Nevada St
Spokane, WA 99218-1298 - Phone
- (509) 626-9420
- Fax
- (509) 227-7070
- NPI assigned
- Sep 12, 2014
- Last updated
- Apr 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60477359 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP60477359 | WA |
Addresses
Primary practice location
9911 N Nevada St
Spokane, WA 99218-1298
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other practice location 1
6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819
Phone (532) 719-7202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stodd218525@wm.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth Washington PC | Current | Accepting new patients |
Locations
1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720
6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1366843088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9911 N NEVADA ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181298",
"telephone_number": "509-626-9420",
"fax_number": "509-227-7070"
}
],
"practiceLocations": [
{
"address_1": "6240 Tacoma Mall Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984096819",
"country_code": "US",
"telephone_number": "532-719-7202",
"fax_number": "253-212-3372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "SAMANTHA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60477359",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60477359",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stodd218525@wm.providencedirect.org",
"affiliation": "N",
"address_1": "105 E Mission Ave Ste D",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992026002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.