Samantha Renee Miffin, CNA PBT

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

1401135672 Issued in VA

Practice address

6037 Hare Rd
Henrico, VA 23231-7921

Phone

(804) 939-0092

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• SRM Healthcare Services, LLC

  • Multi-Specialty Clinic/Center
  • Henrico, VA
  • NPI 1023764578
  NPD Authorized official

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1821660945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 HARE RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317921",
            "telephone_number": "804-939-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 HARE RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317921",
            "telephone_number": "804-939-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIFFIN",
        "first_name": "SAMANTHA",
        "middle_name": "RENEE",
        "credential": "CNA PBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "VA",
            "license": "1401135672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyndell Hunt Merritt, MD
• Yanela Mesa
• Andrew J Michael, MD
• Dennine Michel, PTA
• Michelle Sams, LCSW, LLC
• Robinson D Milam
• Luke Milanovic
• Angelina Miles
• Annesha Milien, MD
• Aaron Christopher Miller, ATC

• Other Technician in Henrico, VA
• Providers in Henrico, VA by specialty
• Other Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.