Samantha Lynn Tuttle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0032493 Issued in OH

Practice address

35040 Chardon Rd Ste G200
Willoughby Hills, OH 44094-9055

Phone

(440) 953-9014

NPI assigned

Oct 27, 2022

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

Other names 1

• Samantha Lynn Kandre Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

University Hospitals Ahuja Medical Center IncGroup PAC ID 5496935538, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stuttle223219@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 Ahuja Medical Center, Inc

  dba UH Ahuja Medical Center

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1609189604
  Medicare reassignment Care Compare group NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment Care Compare group NPD
• Wound Care Consultants LLC

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
  • NPI 1831495373

  Family

  Medicare reassignment NPD
• DRS Byers & Birnbaum Inc

  • Primary Care Clinic/Center
  • Willoughby, OH
  • NPI 1306967807
  NPD
• University Hospitals Ahuja Medical Center

  dba University Hospitals Ahuja Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Beachwood, OH
  • NPI 1326522913
  NPD
• University Hospitals Ahuja Medical Center

  • Nurse Practitioner
  • Beachwood, OH
  • NPI 1982088027
  NPD

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

• University Hospitals Ahuja Medical Center, Inc

  dba UH Ahuja Medical Center

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1609189604
  Care Compare affiliation

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1497472682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD BLDG 7G200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949006",
            "telephone_number": "440-953-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD STE G200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949055",
            "telephone_number": "440-953-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KANDRE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Jeanette Travagliante, PT
• Kyler Trinkle
• Ensilda Troka, BCBA
• Darnell L Truett Sr.
• Damariah Turner
• Twins Transportation Services, L.L.C
• United Dental Care Changwon Ahn DMD
• Lindsey Valvoda, QMHS
• Allison Vandrak
• Sharon D Varner, LPN

• Family Nurse Practitioner in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.

Verify at the official NPI Registry.