Individual provider Active NPI

Samantha D Wall, CNM

  • Advanced Practice Midwife
  • Huntsville, AL
National Provider Identifier
1821777459
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051
Phone
(256) 759-9269
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051

Mailing address

320 Pelham Ave SW Ste 301
Huntsville, AL 35801-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003591 AL Practitioner - Certified Nurse Midwife (CNM) 1658735980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women4Women OBGYN, LLCGroup PAC ID 2668742818, 7 clinicians

Practice addresses (Care Compare)

320 Pelham Ave SW
Suite 301
Huntsville, AL 35801-5051
Phone (256) 675-9269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women4Women OBGYN, LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

320 Pelham Ave SW
Ste 300
Huntsville, AL 35801
Phone (256) 675-9269

320 Pelham Ave SW
Ste 301
Huntsville, AL 35801
Phone (256) 675-9269

Interoperability endpoints

  • Direct secure messaging: samantha.wall.1@15832.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15832/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1821777459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVE SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PELHAM AVE SW STE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015051",
            "telephone_number": "256-759-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.