Samantha Hope Bouie, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010891 Issued in FL

Practice address

11802 Tempest Harbor Loop
Venice, FL 34292-3821

Phone

(941) 676-3440

NPI assigned

Jan 19, 2021

Last updated

Jul 19, 2024By 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

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unique Healthcare Systems, LLCGroup PAC ID 5496058422, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Unique Healthcare Systems LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1831567627
  Medicare reassignment Care Compare group NPD
• Unique Management Group

  dba AFC Primary Care

  • Primary Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1528622586
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1386234839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 TEMPEST HARBOR LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923821",
            "telephone_number": "941-676-3440",
            "fax_number": "941-208-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 TEMPEST HARBOR LOOP",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923821",
            "telephone_number": "941-676-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUIE",
        "first_name": "SAMANTHA",
        "middle_name": "HOPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Bonanno, MD
• Kirsten Bond
• Lisa Camille Bonin, PA-C
• Jeremy Bonjorno, D.P.M.
• Chandana Bopitiya, M.D.
• Joann Bova
• Tammy Bowdle, MSN, APRN, PMHNP-BC
• Deborah Jean Bowler, M.A.
• Bruce Allen Boyd, MD
• Lauren Boyd

• Family Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.

Verify at the official NPI Registry.