NPIMap

Individual provider Active NPI

Samantha Boatner

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1891316048
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142574 Issued in TX
Practice address
3301 Plainview St Ste 8
Pasadena, TX 77504-1929
Phone
(713) 568-8887
NPI assigned
Apr 29, 2020
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142574 TX Primary

Addresses

Primary practice location

3301 Plainview St Ste 8
Pasadena, TX 77504-1929

Mailing address

PO Box 891421
Houston, TX 77289-1421
Phone (713) 568-8887

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Skboatnerfnp36@gmail.com
CONNECT URL Skboatnerfnp36@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309001161 TX Practitioner - Nurse Practitioner 2466847454 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pulmonary and Sleep Clinic, P.a.Group PAC ID 1254587652, 3 clinicians

Practice addresses (Care Compare)

3301 Plainview St
Suite 8
Pasadena, TX 77504-1929
Phone (713) 568-8887

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pulmonary and Sleep Clinic, PA CurrentSince Jan 1, 2023 Accepting new patients
Family Neurology and Neurodevelopmental Center PLLC CurrentSince Jan 1, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 25, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Texas Regional Health Providers CurrentSince Apr 6, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9440 Bellaire Blvd
Ste 230
Houston, TX 77036
Phone (281) 208-7335

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

2837 Dulles Ave
Ste B
Missouri City, TX 77459
Phone (281) 208-7335

3301 Plainview St
Ste 8
Pasadena, TX 77504
Phone (713) 568-8887

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25075/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 3

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1891316048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891421",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772891421",
            "telephone_number": "713-568-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 PLAINVIEW ST STE 8",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041929",
            "telephone_number": "713-568-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATNER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Skboatnerfnp36@gmail.com",
            "affiliation": "N",
            "address_1": "1846 Opal Peach Dr",
            "city": "Rosharon",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775832589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Skboatnerfnp36@gmail.com",
            "affiliation": "N",
            "address_1": "1846 Opal Peach Dr",
            "city": "Rosharon",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775832589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.