Individual provider Active NPI

Samantha Putney

  • Driver
  • South Chesterfield, VA
National Provider Identifier
1669024683
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T62515244 Issued in VA
Practice address
19211 Church Rd
South Chesterfield, VA 23803-1305
Phone
(804) 892-7489
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X T62515244 VA Primary

Addresses

Primary practice location

19211 Church Rd
South Chesterfield, VA 23803-1305

Mailing address

19211 Church Rd
South Chesterfield, VA 23803-1305
Phone (804) 892-7489

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smedicaltrans@gmail.com

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

LicenseStateTypeSpecialty
T62515244VAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
S & M Medical Transportation 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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1669024683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19211 CHURCH RD",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238031305",
            "telephone_number": "804-892-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19211 CHURCH RD",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238031305",
            "telephone_number": "804-892-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNEY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T62515244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smedicaltrans@gmail.com",
            "affiliation": "N",
            "address_1": "19211 Church Rd",
            "city": "South Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238031305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.