Individual provider Active NPI

Samantha Yvonne Harris, DPM

  • Podiatrist
  • Champlain, NY
National Provider Identifier
1881912418
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006901 Issued in NY
Practice address
828 State Route 11
Champlain, NY 12919-4966
Phone
(518) 298-2691
Fax
(518) 298-8241
NPI assigned
May 6, 2010
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006901 NY Primary

Addresses

Primary practice location

828 State Route 11
Champlain, NY 12919-4966

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

87 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone (518) 536-7060

Other identifiers 1

IdentifierTypeStateIssuer
05016995MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address samantha.harris.1@1823.direct.athenahealth.com
Direct Messaging Address samantha.harris.1@1823.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119001870 NY Practitioner - Podiatry 6800026451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

828 State Route 11
Champlain, NY 12919-4966
Phone (518) 298-2691

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue46
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006901NYMDAcupuncturist
5945TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Podiatrist Current Accepting new patients
Hudson Headwaters Health Network Podiatrist CurrentSince Jan 2, 2018 Accepting new patients
Hudson Headwaters Health Network CurrentSince Jan 2, 2018 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

828 State Route 11
Champlain, NY 12919
Phone (518) 298-2691

87 Plaza Blvd
Plattsburgh, NY 12901
Phone (518) 536-7060

9 Carey Rd
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: samantha.harris.1@1823.direct.athenahealth.com
  • Direct secure messaging: sharris469418@direct.uvmhealth.org

Organizations & group practices 4

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 1

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1881912418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 STATE ROUTE 11",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "129194966",
            "telephone_number": "518-298-2691",
            "fax_number": "518-298-8241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129016438",
            "country_code": "US",
            "telephone_number": "518-536-7060",
            "fax_number": "518-536-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAMANTHA",
        "middle_name": "YVONNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05016995",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.harris.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "87 Plaza Blvd",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129016438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.harris.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "828 State Route 11",
            "city": "Champlain",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129194966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Champlain, NY

Sources for this page

Verify at the official NPI Registry.