Active NPI
Samantha Kristine Blain - Maiza, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1881471704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11028556
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11028556 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023063504 | Other | FL | ANCCAGACNPBC |
| 2025032084 | Other | FL | ANCCPMHNPBC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11028556 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blain Wellness Inc | Multi-Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.