Individual provider Active NPI

Samantha Kaye Rickard, FNP-BC, MSN

  • Family Nurse Practitioner
  • Florence, AL
National Provider Identifier
1558030288
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-145580 Issued in AL
Practice address
426 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone
(256) 980-6214
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-145580 AL
Primary Care Nurse Practitioner 363LP2300X 1-145580 AL
Family Nurse Practitioner 363LF0000X 1-145580 AL Primary

Addresses

Primary practice location

426 E Dr Hicks Blvd
Florence, AL 35630-5763

Mailing address

426 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone (256) 980-6214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20211018000968 AL Practitioner - Nurse Practitioner 9739587072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Neuroservices LLCGroup PAC ID 4789826348, 11 clinicians

Practice addresses (Care Compare)

2129 Helton Dr
Florence, AL 35630-1069
Phone (256) 980-6214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-145580ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Neuroservices LLC CurrentSince Oct 4, 2021 Accepting new patients

Locations

426 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 764-7721

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

2129 Helton Dr
Florence, AL 35630
Phone (256) 718-3200

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: samantha.bowles.1@6269.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1558030288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-980-6214",
            "fax_number": "256-768-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-980-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "credential": "FNP-BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-145580",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-145580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.