NPIMap

Individual provider Active NPI

Samantha Bland-Naquin, MD

  • Obstetrics & Gynecology Physician
  • Zachary, LA
National Provider Identifier
1821417007
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
308481 Issued in LA
Practice address
6550 Main St Ste 2000
Zachary, LA 70791
Phone
(225) 658-1303
Fax
(225) 658-1304
NPI assigned
Apr 15, 2014
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 308481 LA Primary

Addresses

Primary practice location

6550 Main St Ste 2000
Zachary, LA 70791

Mailing address

2335 Church St Ste E
Zachary, LA 70791-2700
Phone (225) 570-2489

Other identifiers 1

IdentifierTypeStateIssuer
2361708MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626000400 LA Practitioner - Obstetrics/Gynecology 4284920760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6300 Main St
Zachary, LA 70791-4037
Phone (225) 570-2618

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308481LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Aug 1, 2018 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Current Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients

Locations

2335 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2489

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

6550 Main St
Ste 2000
Zachary, LA 70791
Phone (225) 235-9308

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1821417007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHURCH ST STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912700",
            "telephone_number": "225-570-2489",
            "fax_number": "225-570-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 2000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-658-1303",
            "fax_number": "225-658-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND-NAQUIN",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "308481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2361708",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.