Individual provider Active NPI

Samantha Rhea Bishop, NP-BC

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1770255408
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183435 Issued in VA
Practice address
9600 Patterson Ave
Richmond, VA 23229-6053
Phone
(804) 741-6200
Fax
(804) 741-6213
NPI assigned
Sep 30, 2021
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024183435 VA Primary
Registered Nurse 163W00000X 0001259478 VA

Addresses

Primary practice location

9600 Patterson Ave
Richmond, VA 23229-6053

Mailing address

PO Box 639994
Cincinnati, OH 45263-9994

Other names 1

  • Samantha Rhea Gallimore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220909003020 VA Practitioner - Nurse Practitioner 2062897101 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001259478VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jan 2, 2024 Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC CurrentSince Jan 2, 2024 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients

Locations

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

9600 Patterson Ave
Richmond, VA 23229
Phone (804) 285-6818

Interoperability endpoints

  • Direct secure messaging: sbishop54121@direct.carilionclinic.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1770255408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639994",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296053",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "SAMANTHA",
        "middle_name": "RHEA",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183435",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001259478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GALLIMORE",
            "middle_name": "RHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.