Individual provider Active NPI

Samara Ida Pottier-Taccetta, CNM, APRN

  • Advanced Practice Midwife
  • Newington, NH
National Provider Identifier
1376853747
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
073486-23 Issued in NH
Practice address
3 Fabyan PT
Newington, NH 03801-2756
Phone
(603) 988-9880
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN60450447 WA
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X 073486-23 NH Primary

Addresses

Primary practice location

3 Fabyan PT
Newington, NH 03801-2756

Mailing address

3 Fabyan PT
Newington, NH 03801-2756
Phone (603) 988-9880

Other practice location 1

117 Newell St
Walla Walla, WA 99362-3107
Phone (603) 988-9880

Other identifiers 1

IdentifierTypeStateIssuer
073486-23OtherNHAPRN

Other names 1

  • Samara Pottier Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL wholelifemidwife@gmail.com
CONNECT URL wholelifemidwife.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN60450447WAMDLactation Consultant (Registered Nurse)
073486-23NHMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1376853747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FABYAN PT",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038012756",
            "telephone_number": "603-988-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FABYAN PT",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038012756",
            "telephone_number": "603-988-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Newell St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623107",
            "country_code": "US",
            "telephone_number": "603-988-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTIER-TACCETTA",
        "first_name": "SAMARA",
        "middle_name": "IDA",
        "credential": "CNM, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "RN60450447",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "073486-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "073486-23",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wholelifemidwife@gmail.com",
            "affiliation": "N",
            "address_1": "3 Fabyan Pt",
            "city": "Newington",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038012756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wholelifemidwife.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "3 Fabyan Pt",
            "city": "Newington",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038012756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMARA",
            "last_name": "POTTIER",
            "credential": "CNM, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newington, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.