Individual provider Active NPI

Samantha Bassler, FNP-C

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1679398192
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
002419395 Issued in VA
Practice address
3636 Virginia Beach Blvd Ste 110
Virginia Beach, VA 23452-3400
Phone
(757) 744-4218
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 002419395 VA Primary

Addresses

Primary practice location

3636 Virginia Beach Blvd Ste 110
Virginia Beach, VA 23452-3400

Mailing address

4428 Loring Rd
Virginia Beach, VA 23456-1470
Phone (320) 296-6223

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
002419395VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1679398192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 LORING RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561470",
            "telephone_number": "320-296-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 VIRGINIA BEACH BLVD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523400",
            "telephone_number": "757-744-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSLER",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "002419395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.