Samantha Sudano, MSN, RN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R224043 Issued in MD

Practice address

610 Ocean Hwy W
Supply, NC 28462-4048

Phone

(910) 253-5885

Fax

(910) 253-5887

NPI assigned

Dec 27, 2023

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

Medicare fee-for-service enrollment

Enrolled in MD

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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.

• Moving Ahead Counseling Services

  • Community/Behavioral Health Agency
  • Supply, NC
  • NPI 1629533997

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1598534976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 PALOMINO ST",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621002",
            "telephone_number": "410-446-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624048",
            "telephone_number": "910-253-5885",
            "fax_number": "910-253-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDANO",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Cross Community Services, Inc
• Daniel B Spagnoli, DDS, MS, PHD
• Specialty Eye Care of the Carolinas, PC
• Kendra Spencer, LCSWA, LCASA
• Lindsey Stack
• Anna Elizabeth Emerson Susol, LCSWA
• Lindian J Swaim Jr., MD
• Amanda Evelyn Swiss, PA-C
• Lori Anne Tackman, MD
• Tender Care Company, LLC

• Psychiatric/Mental Health Nurse Practitioner in Supply, NC
• Providers in Supply, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.