Active NPI
Samantha Logan Spinks, APN
- Acute Care Nurse Practitioner
- Cleveland, TN
National Provider Identifier
1649629049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 21159
- Practice address
- 2404 Chambliss Ave NW
Cleveland, TN 37311-3848 - Phone
- (423) 339-2000
- Fax
- (423) 339-2043
- NPI assigned
- Jun 7, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 21159 | TN | Primary |
Addresses
Primary practice location
2404 Chambliss Ave NW
Cleveland, TN 37311-3848
Mailing address
2404 Chambliss Ave NW
Cleveland, TN 37311-3848
Phone (423) 339-2000
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 |
|---|---|---|---|
| Southern Anesthesia Consultants LLC | Past | Accepting new patients |
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.
-
- Certified Registered Nurse Anesthetist
- Murfreesboro, TN
- NPI 1568642114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1649629049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 CHAMBLISS AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113848",
"telephone_number": "423-339-2000",
"fax_number": "423-339-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 CHAMBLISS AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113848",
"telephone_number": "423-339-2000",
"fax_number": "423-339-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINKS",
"first_name": "SAMANTHA",
"middle_name": "LOGAN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "21159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Lee Ann Stabler, CNM
- Staffco of Eastern Tennessee, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.