Individual provider Active NPI

Samora Christina Carpio

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1447891361
Registry record updated Aug 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11004281 Issued in FL
Practice address
1150 45TH St
West Palm Beach, FL 33407-2361
Phone
(561) 514-5300
Fax
(561) 514-5538
NPI assigned
Oct 2, 2019
Last updated
Aug 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004281 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11004281 FL Primary

Addresses

Primary practice location

1150 45TH St
West Palm Beach, FL 33407-2361

Mailing address

800 Clematis St Ste 5-531
West Palm Beach, FL 33401-5107
Phone (561) 671-4036

Other practice location 1

633 Umatilla Blvd
Umatilla, FL 32784-8418
Phone (352) 771-2700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210802001894 FL Practitioner - Nurse Practitioner 5092143446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11004281FLMDFamily Nurse Practitioner
APRN11004281FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Learning to Achieve Wellness Inc Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Florida Department of Health CurrentSince Jul 23, 2021 Accepting new patients
Florida Department of Health CurrentSince Jul 23, 2021 Accepting new patients
Monolith Diagnostics, PC PastSince Feb 1, 2020 Accepting new patients

Locations

413 W Robertson St
Ste B
Brandon, FL 33511
Phone (813) 657-4711

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

1801 SE Hillmoor Dr
Ste C-102
Port St Lucie, FL 34952

1150 45th St
West Palm Beach, FL 33407
Phone (561) 514-5300

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1447891361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLEMATIS ST STE 5-531",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015107",
            "telephone_number": "561-671-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 45TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072361",
            "telephone_number": "561-514-5300",
            "fax_number": "561-514-5538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Umatilla Blvd",
            "address_purpose": "LOCATION",
            "city": "Umatilla",
            "state": "FL",
            "postal_code": "327848418",
            "country_code": "US",
            "telephone_number": "352-771-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "SAMORA",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004281",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11004281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.