Active NPI
Samantha Roberts
- School Registered Nurse
- High Point, NC
National Provider Identifier
1598543290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 317106
- Practice address
- 501 E Green Dr
High Point, NC 27260-6707 - Phone
- (336) 660-9587
- Fax
- (336) 641-4675
- NPI assigned
- Sep 15, 2023
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 317106 | NC | Primary |
Addresses
Primary practice location
501 E Green Dr
High Point, NC 27260-6707
Mailing address
501 E Green Dr
High Point, NC 27260-6707
Phone (336) 660-9587
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317106 | NC | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1598543290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606707",
"telephone_number": "336-660-9587",
"fax_number": "336-641-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606707",
"telephone_number": "336-660-9587",
"fax_number": "336-641-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NC",
"license": "317106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.