Individual provider Active NPI

Joshunda Latiece Samuels

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1689195174
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904569 Issued in MS
Practice address
301 Fisher St
Biloxi, MS 39534-2508
Phone
(228) 376-3059
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904569 MS Primary
Family Nurse Practitioner 363LF0000X 1-142177 AL
Family Nurse Practitioner 363LF0000X AP134358 TX

Addresses

Primary practice location

301 Fisher St
Biloxi, MS 39534-2508

Mailing address

301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-3059

Other practice location 1

1910 John Ralston Rd Ste 200
Houston, TX 77013-5531
Phone (281) 502-2606

Other practice location 2

450 Saint Emanuel St
Mobile, AL 36603-2240
Phone (251) 574-6412

Other practice location 3

6404 International Pkwy Ste 2100
Plano, TX 75093-8228
Phone (251) 232-4554 ext. 25123

Other practice location 4

1083 E Relham Dr
Loxley, AL 36551-2406
Phone (251) 964-4011

Other practice location 5

4055 Valley View Ln Ste 400
Dallas, TX 75244-5071
Phone (972) 715-3800

Other names 1

  • Joshunda Latiece Carson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joshunda.samuels.1@29601.direct.athenahealth.com
Direct Messaging Address joshunda.l.samuels.ctr@health.mil Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201209000464 AL Practitioner - Nurse Practitioner 4183036502 Reassigns benefits to 2 organizations
I20241023000069 TX Practitioner - Nurse Practitioner 4183036502 Reassigns benefits to 2 organizations
I20250407000097 FL Practitioner - Nurse Practitioner 4183036502 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians
Apex Urgent Care Clinic LLCGroup PAC ID 3971804188, 16 clinicians

Practice addresses (Care Compare)

13621 Skinner Rd
Suite 100
Cypress, TX 77429-7283
Phone (281) 754-3034

4828 Waterview Town Ctr Dr
Suite 100
Richmond, TX 77407-2385
Phone (832) 427-6015

4886 Dowlen Rd
Beaumont, TX 77708-4828
Phone (409) 273-7235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-142177ALMDFamily Nurse Practitioner
904569MSMDFamily Nurse Practitioner
AP134358TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Jun 1, 2025 Accepting new patients
Dr Rebman Medical PA CurrentSince Jul 15, 2025 Accepting new patients
Centerwell Senior Primary Care (TX) PA CurrentSince Sep 30, 2024 Accepting new patients
Centerwell Senior Primary Care (TX) PA CurrentSince Sep 30, 2024 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jan 1, 2026 Accepting new patients
Dr Rebman BH LLC CurrentSince Nov 3, 2025 Accepting new patients
Ivy Medical Group PLLC CurrentSince Feb 1, 2025 Accepting new patients
Dr Medical Services PC CurrentSince Jun 29, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Dec 2, 2020 Accepting new patients
Centerwell Senior Primary Care (TX) PA Current Accepting new patients
Rural Urgent Care LLC CurrentSince Dec 2, 2020 Accepting new patients
Centerwell Senior Primary Care (TX) PA Past Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

500 John Aldridge Dr
Tuscumbia, AL 35674
Phone (256) 373-4541

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

633 NE 167th St
Ste 301
North Miami Beach, FL 33162

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

4886 Dowlen Rd
Beaumont, TX 77708
Phone (409) 273-7235

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

13621 Skinner Rd
Ste 100
Cypress, TX 77429
Phone (281) 754-3034

801 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 271-0136

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

1910 John Ralston Rd
Ste 200
Houston, TX 77013
Phone (713) 673-9000

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

8555 Memorial Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 237-6480

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

Interoperability endpoints

  • Direct secure messaging: joshunda.samuels.1@29601.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1689195174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 John Ralston Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770135531",
            "country_code": "US",
            "telephone_number": "281-502-2606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Saint Emanuel St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366032240",
            "country_code": "US",
            "telephone_number": "251-574-6412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6404 International Pkwy Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938228",
            "country_code": "US",
            "telephone_number": "251-232-4554 x25123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1083 E Relham Dr",
            "address_purpose": "LOCATION",
            "city": "Loxley",
            "state": "AL",
            "postal_code": "365512406",
            "country_code": "US",
            "telephone_number": "251-964-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4055 Valley View Ln Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445071",
            "country_code": "US",
            "telephone_number": "972-715-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "JOSHUNDA",
        "middle_name": "LATIECE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904569",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-142177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshunda.samuels.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1910 John Ralston Rd Ste 200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770135531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshunda.l.samuels.ctr@health.mil",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "301 Fisher St",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395342508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSHUNDA",
            "last_name": "CARSON",
            "middle_name": "LATIECE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.