Active NPI
Samantha Lynne Dowell
- Pediatric Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5013470
- Practice address
- 3024 New Bern Ave
Raleigh, NC 27610 - Phone
- (919) 235-6505
- NPI assigned
- Aug 25, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5013470 | NC | Primary |
Addresses
Primary practice location
3024 New Bern Ave
Raleigh, NC 27610
Mailing address
PO Box 602195
Charlotte, NC 28260-2195
Phone (877) 498-4490
Other practice location 1
106 Hyannis Dr
Holly Springs, NC 27540-8327
Phone (919) 249-4700
Other practice location 2
204 Medspring Dr
Clayton, NC 27520
Phone (919) 235-6505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598378937 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013470 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians, LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Current | Accepting new patients | |
| Holly Springs Pediatrics | Past | Accepting new patients |
Locations
204 Medspring Dr
Clayton, NC 27520
Phone (910) 775-3130
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
Interoperability endpoints
- sdowell325695@directhisp.wakemed.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Raleigh, NC
- NPI 1942440375
-
dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
-
dba WakeMed Pediatrics
- Pediatrics Physician
- Raleigh, NC
- NPI 1427469469
-
- Pediatrics Physician
- Holly Springs, NC
- NPI 1558514752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1598378937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602195",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602195",
"telephone_number": "877-498-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27610",
"telephone_number": "919-235-6505"
}
],
"practiceLocations": [
{
"address_1": "106 Hyannis Dr",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275408327",
"country_code": "US",
"telephone_number": "919-249-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Medspring Dr",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NC",
"postal_code": "27520",
"country_code": "US",
"telephone_number": "919-235-6505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOWELL",
"first_name": "SAMANTHA",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5013470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598378937",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.