Samantha Shores Knox

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11028358 Issued in FL

Practice address

6549 N Wickham Rd Ste 103E
Melbourne, FL 32940-2041

Phone

(321) 364-2822

Fax

(877) 684-0805

NPI assigned

Aug 29, 2023

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Trident Healthcare LLC

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1518676329
  Medicare reassignment NPD
• Brevard TNT Holdings

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1841009461
  NPD
• Merritt Island Foot & Ankle Inc

  • Foot & Ankle Surgery Podiatrist
  • Merritt Island, FL
  • NPI 1427236199
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1437934346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 HARVEST CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554158",
            "telephone_number": "321-266-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6549 N WICKHAM RD STE 103E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402041",
            "telephone_number": "321-364-2822",
            "fax_number": "877-684-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "SAMANTHA",
        "middle_name": "SHORES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Knoll, BCBA
• Angela Knopf
• Mark Knopf, PT
• Nakita Bernadette Knowles, DPT
• Sherry Christine Knowles, LMT
• Jake Samuel Koerner, DC
• Charles Benjamin Koko, RPH
• Elizabeth Kolb-Jackson
• Kelli Kollanda, LMT
• Jo A Kologlu, PT

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, 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 Aug 29, 2023; 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.

Verify at the official NPI Registry.