Individual provider Active NPI

Samantha Lawson, CNM, WHNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1780199927
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177392 Issued in VA
Practice address
2624 Southern Blvd Ste 102
Virginia Beach, VA 23452-7433
Phone
(757) 453-1256
Fax
(319) 359-3813
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024177392 VA
Advanced Practice Midwife 367A00000X 0024177392 VA
Advanced Practice Midwife 367A00000X APN.0997973-CNM CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177392 VA Primary

Addresses

Primary practice location

2624 Southern Blvd Ste 102
Virginia Beach, VA 23452-7433

Mailing address

2624 Southern Blvd Ste 102
Virginia Beach, VA 23452-7433
Phone (757) 453-1256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200427000407 VA Practitioner - Certified Nurse Midwife (CNM) 8921357054 Reassigns benefits to 2 organizations
I20230731002200 CO Practitioner - Certified Nurse Midwife (CNM) 8921357054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177392VAMDPsychiatric/Mental Health Nurse Practitioner
APN.0997973-CNMCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC CurrentSince Feb 8, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 21, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 5, 2023 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 5, 2023 Accepting new patients
Brookside Psychiatric Specialists PLLC Psychiatric/Mental Health CurrentSince Mar 12, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 21, 2024 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

225 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 344-6304

8644 Sudley Rd
#220
Manassas, VA 20110

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

2624 Southern Blvd
Ste 102
Virginia Beach, VA 23452
Phone (757) 453-1256

Interoperability endpoints

  • Direct secure messaging: samantha.lawson.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1780199927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 SOUTHERN BLVD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527433",
            "telephone_number": "757-453-1256",
            "fax_number": "319-359-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 SOUTHERN BLVD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527433",
            "telephone_number": "757-453-1256",
            "fax_number": "319-359-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "SAMANTHA",
        "credential": "CNM, WHNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024177392",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024177392",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0997973-CNM",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.