Samantha Ann Frances Petty, APRN CPN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

022426 Issued in OH

Practice address

10524 Euclid Ave
Cleveland, OH 44106

Phone

(216) 844-3881

NPI assigned

Mar 1, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: spetty27858@ehrdirect.uhhospitals.org

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.

• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1467954941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 KIRTLAND CHARDON RD",
            "city": "KIRTLAND",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-487-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Kirtland Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Kirtland",
            "state": "OH",
            "postal_code": "44094",
            "country_code": "US",
            "telephone_number": "440-487-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTY",
        "first_name": "SAMANTHA ANN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "APRN CPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "022426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samanthaannpetty@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "10524 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Tomieka Pettigrew, NURSE
• Gaetan Lorenz Pettigrew, M.D.
• Rebecca Petts, DMD
• Danielle R Pettus, STNA
• Jane Petty
• Seniqua D Petty, LICENSED PRACTICAL N
• Holland Petway
• Colleen A Petz, CRNA
• Jennifer Peugh, M.D.
• Emily G Pewe, LSW

• Psychiatric/Mental Health Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.