Active NPI
Samantha Zeller, APRN-CNP
- Pediatric Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1811153331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11014207
- Practice address
- 601 5TH St S
St Petersburg, FL 33701-4804 - Phone
- (727) 767-8181
- NPI assigned
- Aug 4, 2008
- Last updated
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 102358 | OK | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11014207 | FL | Primary |
Addresses
Primary practice location
601 5TH St S
St Petersburg, FL 33701-4804
Mailing address
601 5TH St S
St Petersburg, FL 33701-4804
Phone (727) 767-8181
Other practice location 1
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-6702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102358 | Other | OK | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014207 | FL | MD | Pediatric Nurse Practitioner |
| 102358 | OK | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- szeller991591@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1811153331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181"
}
],
"practiceLocations": [
{
"address_1": "6161 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741361902",
"country_code": "US",
"telephone_number": "918-502-6702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZELLER",
"first_name": "SAMANTHA",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "102358",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11014207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "102358",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.