Active NPI
Samantha G Sellers, APRN
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1528660842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11010101
- Practice address
- 11977 S Apopka Vineland Rd
Orlando, FL 32836-7025 - Phone
- (863) 999-0911
- NPI assigned
- Nov 11, 2020
- Last updated
- Nov 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11010101 | FL | Primary |
Addresses
Primary practice location
11977 S Apopka Vineland Rd
Orlando, FL 32836-7025
Mailing address
804 Whisper Woods Dr
Lakeland, FL 33813-5650
Phone (863) 595-7944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bond Urgent Care LLC | Past | Accepting new patients |
Interoperability endpoints
- samantha.sellers.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1235641739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1528660842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 WHISPER WOODS DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338135650",
"telephone_number": "863-595-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11977 S APOPKA VINELAND RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328367025",
"telephone_number": "863-999-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "SAMANTHA",
"middle_name": "G",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11010101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.