Individual provider Active NPI

Rebecca Ohanian-Samarin, APRN

  • Family Nurse Practitioner
  • Brandenburg, KY
National Provider Identifier
1699197939
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008416 Issued in KY
Practice address
664 Bypass Rd
Brandenburg, KY 40108-1730
Phone
(270) 422-4000
Fax
(270) 422-4002
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3008416 KY
Family Nurse Practitioner 363LF0000X 3008416 KY Primary

Addresses

Primary practice location

664 Bypass Rd
Brandenburg, KY 40108-1730

Mailing address

664 Bypass Rd
Brandenburg, KY 40108-1730
Phone (502) 376-4104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20140429001748 KY Practitioner - Nurse Practitioner 8921901539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant Resource Health Care, PLLCGroup PAC ID 5597143263, 2 clinicians

Practice addresses (Care Compare)

664 Bypass Rd
Brandenburg, KY 40108-1730
Phone (502) 376-4101

Hospital & facility affiliations

  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Resource Health Care PLLC Family CurrentSince Mar 15, 2022 Accepting new patients

Locations

664 Bypass Rd
Brandenburg, KY 40108
Phone (270) 422-7766

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.

Hospital & facility affiliations 1

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1699197939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081730",
            "telephone_number": "502-376-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 BYPASS RD",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081730",
            "telephone_number": "270-422-4000",
            "fax_number": "270-422-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANIAN-SAMARIN",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3008416",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandenburg, KY

Sources for this page

Verify at the official NPI Registry.