Samantha Searcy Rynearson, PMHNP-BC, CNM, MN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

202007260NP Issued in OR

Practice address

200 E 2ND St Ste 102
Newberg, OR 97132-3083

Phone

(503) 427-8581

Fax

(503) 461-0061

NPI assigned

Aug 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srynearson110149@direct.salemhealth.org

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.

• Heartwood Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newberg, OR
  • NPI 1710594155
  NPD Authorized official
• Thrive Integrative Psychiatry, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • McMinnville, OR
  • NPI 1629544903
  NPD (past)

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1710133764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND ST STE 102",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323083",
            "telephone_number": "503-427-8581",
            "fax_number": "503-461-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 2ND ST STE 102",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323083",
            "telephone_number": "503-427-8581",
            "fax_number": "503-461-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 SE Stratus Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971286255",
            "country_code": "US",
            "telephone_number": "503-474-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYNEARSON",
        "first_name": "SAMANTHA",
        "middle_name": "SEARCY",
        "credential": "PMHNP-BC, CNM, MN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202007260NP",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200850104NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nichole Rubino, MAQMHP
• Casey James Rucker, MD
• Britny Cristina Ruilova Tellez
• Lois B Ruiz, LMT
• Ryan David Martin
• Maya Saafein
• Cesar Sabogal
• Safeway Inc
• Valery Brisbane Sampson, OTR/L
• Daniel Sanders, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Newberg, OR
• Providers in Newberg, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.