Individual provider Active NPI

Samantha Kristine Blain - Maiza, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1881471704
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11028556 Issued in FL
Practice address
1651 W 37TH St Ste 308
Hialeah, FL 33012-4692
Phone
(786) 383-2443
Fax
(305) 280-8261
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 11028556 FL
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 11028556 FL Primary
Nurse Practitioner 363L00000X 11028556 FL

Addresses

Primary practice location

1651 W 37TH St Ste 308
Hialeah, FL 33012-4692

Mailing address

1651 W 37TH St Ste 308
Hialeah, FL 33012-4692
Phone (786) 383-2443

Other practice location 1

11750 SW 40th St
Miami, FL 33175-3530
Phone (305) 223-3000

Other identifiers 2

IdentifierTypeStateIssuer
2023063504OtherFLANCCAGACNPBC
2025032084OtherFLANCCPMHNPBC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003487 FL Practitioner - Nurse Practitioner 8325493356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028556FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blain Wellness Inc Multi-Specialty CurrentSince May 5, 2026 Accepting new patients

Locations

1651 W 37th St
Ste 308
Hialeah, FL 33012
Phone (305) 556-2162

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1881471704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 W 37TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124692",
            "telephone_number": "786-383-2443",
            "fax_number": "305-280-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 W 37TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124692",
            "telephone_number": "786-383-2443",
            "fax_number": "305-280-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIN - MAIZA",
        "first_name": "SAMANTHA",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11028556",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028556",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCCAGACNPBC",
            "identifier": "2023063504",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCCPMHNPBC",
            "identifier": "2025032084",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.