Individual provider Active NPI

Samantha Yvonne Unz, FNP-C

  • Family Nurse Practitioner
  • Northport, AL
National Provider Identifier
1649922469
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147281 Issued in AL
Practice address
920 Rose Dr
Northport, AL 35476-3363
Phone
(205) 333-5900
NPI assigned
Jan 23, 2022
Last updated
Jan 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-147281 AL Primary

Addresses

Primary practice location

920 Rose Dr
Northport, AL 35476-3363

Mailing address

920 Rose Dr
Northport, AL 35476-3363
Phone (205) 333-5900

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
I20220819001386 AL Practitioner - Nurse Practitioner 6800279126 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-147281ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physician Group LLP CurrentSince Aug 1, 2022 Accepting new patients
Pinnacle Physician Group, LLP CurrentSince Dec 13, 2023 Accepting new patients
Bama Pedicatrics LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

920 Rose Dr
Northport, AL 35476
Phone (205) 333-5900

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

1837 Commons North Dr
Tuscaloosa, AL 35406
Phone (205) 366-0696

657 Helen Keller Blvd
Tuscaloosa, AL 35404
Phone (205) 255-3784

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBIDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1649922469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ROSE DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763363",
            "telephone_number": "205-333-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ROSE DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763363",
            "telephone_number": "205-333-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNZ",
        "first_name": "SAMANTHA",
        "middle_name": "YVONNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.