Individual provider Active NPI

Samantha Renee Tuttle, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1659961571
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008078 Issued in FL
Practice address
4730 Exploration Ave
Lakeland, FL 33812-3319
Phone
(863) 208-6343
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 APRN11008078 FL Primary

Addresses

Primary practice location

4730 Exploration Ave
Lakeland, FL 33812-3319

Mailing address

4730 Exploration Ave
Lakeland, FL 33812-3319
Phone (863) 208-6343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220727004217 FL Practitioner - Nurse Practitioner 4082096714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

Practice addresses (Care Compare)

4730 Exploration Ave
Lakeland, FL 33812-3319
Phone (863) 208-6353

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology FL, LLC CurrentSince Feb 1, 2023 Accepting new patients
Central Florida Infectious Diseases LLC CurrentSince Mar 19, 2022 Accepting new patients
Toi FL Mso, LLC PastSince Mar 20, 2025 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

3702 Washington St
Ste 407
Hollywood, FL 33021
Phone (754) 348-0168

4730 Exploration Ave
Lakeland, FL 33812
Phone (863) 208-6343

4730 Exploration Ave
Ste 702
Lakeland, FL 33812

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

501 Dr Martin Luther King St S
Ste 201
St Petersburg, FL 33705
Phone (727) 250-0094

6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761

501 Mlk Jr St S
St Petersburg, FL 33705
Phone (727) 822-7344

435 2nd St NE
Winter Haven, FL 33881
Phone (863) 288-0942

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: samantha.tuttle@theoncologyinstitute.ikm.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIGBD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1659961571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-208-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 EXPLORATION AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123319",
            "telephone_number": "863-208-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "SAMANTHA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.