Active NPI
Samantha Lindsay O'Neal, APRN
- Adult Health Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11023224
- Practice address
- 625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665 - Phone
- (727) 553-7100
- Fax
- (727) 553-7198
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11023224 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 11023224 | FL |
Addresses
Primary practice location
625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665
Mailing address
420 42ND Ave NE
St Petersburg, FL 33703-5010
Phone (727) 902-4575
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 6TH Ave S
Suite 385
St Petersburg, FL 33701-4665
Phone (727) 553-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11023224 | FL | MD | Adult Health Nurse Practitioner |
| 11023224 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients |
Locations
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
625 6th Ave S
Ste 385
St Petersburg, FL 33701
Phone (727) 553-7100
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- sburgess204931@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1457061582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 42ND AVE NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337035010",
"telephone_number": "727-902-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 6TH AVE S STE 385",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014665",
"telephone_number": "727-553-7100",
"fax_number": "727-553-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "SAMANTHA",
"middle_name": "LINDSAY",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11023224",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023224",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
- 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.