Samantha Dawn Herman, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

383312 Issued in NY

Practice address

258 Hoosick St Ste 100
Troy, NY 12180-2450

Phone

(518) 272-0232

Fax

(518) 274-4083

NPI assigned

Aug 24, 2021

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 identifiers 1

Other names 1

• Samantha Dawn Achonye Former name

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in NY

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

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.

• Community Care Physicians, PLLC

  • Internal Medicine Physician
  • Latham, NY
  • NPI 1922048370

  NY

  Medicare reassignment NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Warrensburg, NY
  • NPI 1194738344

  NY

  Medicare reassignment NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Schroon Lake, NY
  • NPI 1740296177
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119
  NPD
• Whitney M. Young Jr. Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albany, NY
  • NPI 1942660105
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1508533951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST STE 100",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802450",
            "telephone_number": "518-272-0232",
            "fax_number": "518-274-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Hyland Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Luzerne",
            "state": "NY",
            "postal_code": "128463923",
            "country_code": "US",
            "telephone_number": "518-824-2580",
            "fax_number": "518-824-2579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Larose Street",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128013452",
            "country_code": "US",
            "telephone_number": "518-824-8181",
            "fax_number": "833-819-0268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3767 Main St",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "NY",
            "postal_code": "128851890",
            "country_code": "US",
            "telephone_number": "518-623-2844",
            "fax_number": "518-623-3416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128043323",
            "country_code": "US",
            "telephone_number": "518-798-6400",
            "fax_number": "518-798-4105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Broad St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014349",
            "country_code": "US",
            "telephone_number": "518-792-2223",
            "fax_number": "518-792-8231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "SAMANTHA",
        "middle_name": "DAWN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06777444",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.herman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3767 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.herman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "100 Broad St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.herman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "28 S Western Ave",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.herman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "27 Hyland Dr",
            "city": "Lake Luzerne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128463923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.herman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.herman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "38 Larose Street",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128013452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ACHONYE",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Lynne Hearne, MS, RN, PMHNP-BC
• Donna Marie Heffernan, M.D.
• Deborah Helmes
• Catherine Christina Hepp, LCSW
• Heritage House Nursing Center, Inc
• Crystal Hernandez
• Terra A Hernandez, LPN
• Nancy Gorman Herron, LICENSED SPEECH PATH
• Rebecca L Hessinger
• Corina Hickey

• All providers in Troy, NY
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.