Active NPI
Samantha Kay King, CNM, RN
- Maternal Newborn Registered Nurse
- Fort Wayne, IN
National Provider Identifier
1679412357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- 28250820A
- Practice address
- 2512 E Dupont Rd Ste 105
Fort Wayne, IN 46825-0045 - Phone
- (260) 222-7401
- NPI assigned
- Mar 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Maternal Newborn Registered Nurse | 163WM0102X | 28250820A | IN | Primary |
Addresses
Primary practice location
2512 E Dupont Rd Ste 105
Fort Wayne, IN 46825-0045
Mailing address
4014 Fernbank Dr
Fort Wayne, IN 46815-5410
Other practice location 1
9835 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 222-7406
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
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28250820A | IN | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1679412357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 FERNBANK DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 E DUPONT RD STE 105",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468250045",
"telephone_number": "260-222-7401"
}
],
"practiceLocations": [
{
"address_1": "9835 Auburn Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468252347",
"country_code": "US",
"telephone_number": "260-222-7406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "SAMANTHA",
"middle_name": "KAY",
"credential": "CNM, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "IN",
"license": "28250820A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.