Individual provider Active NPI

Samantha Nichols Barry, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1396297495
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010515 Issued in KY
Practice address
1401 Harrodsburg Rd Ste C305
Lexington, KY 40504-3771
Phone
(859) 276-8400
Fax
(859) 276-3700
NPI assigned
Oct 25, 2016
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 3010515 KY Primary

Addresses

Primary practice location

1401 Harrodsburg Rd Ste C305
Lexington, KY 40504-3771

Mailing address

PO Box 936
London, KY 40743-0936
Phone (859) 276-8400

Other practice location 1

160 N Eagle Creek Dr Ste 202
Lexington, KY 40509-2125
Phone (859) 263-0022

Other practice location 2

460 Wilson Ave
Versailles, KY 40383-1947
Phone (859) 879-0111

Other identifiers 1

IdentifierTypeStateIssuer
7100435440MedicaidKY

Other names 1

  • Miss Samantha E Nichols Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20170209001444 KY Practitioner - Nurse Practitioner 7416230834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Versailles Family Medicine, PLLCGroup PAC ID 2668576927, 8 clinicians

Practice addresses (Care Compare)

1401 Harrodsburg Rd
Suite C305
Lexington, KY 40504-3771
Phone (859) 278-8400

460 Wilson Ave
Versailles, KY 40383-1947
Phone (859) 879-0111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Versailles Family Medicine, PLLC Family CurrentSince Nov 27, 2016 Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1401 Harrodsburg Rd
Ste C305
Lexington, KY 40504
Phone (859) 278-8400

160 N Eagle Creek Dr
Ste 202
Lexington, KY 40509
Phone (859) 263-0022

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHBDAA
  • Direct secure messaging: sbarry473633@direct.stlukeshealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1396297495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "859-276-8400",
            "fax_number": "859-276-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE C305",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043771",
            "telephone_number": "859-276-8400",
            "fax_number": "859-276-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Eagle Creek Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092125",
            "country_code": "US",
            "telephone_number": "859-263-0022",
            "fax_number": "859-263-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Versailles",
            "state": "KY",
            "postal_code": "403831947",
            "country_code": "US",
            "telephone_number": "859-879-0111",
            "fax_number": "859-879-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "SAMANTHA",
        "middle_name": "NICHOLS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100435440",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "NICHOLS",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.