Active NPI
Samantha Julia Sine, ARNP
- Family Nurse Practitioner
- Snoqualmie, WA
National Provider Identifier
1891488557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61581836
- Practice address
- 9801 Frontier Ave SE
Snoqualmie, WA 98065-5200 - Phone
- (425) 831-2300
- NPI assigned
- May 30, 2023
- Last updated
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61581836 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61581836 | WA | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | RN60849869 | WA |
Addresses
Primary practice location
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Mailing address
PO Box 170
North Bend, WA 98045-0170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61581836 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4, King County Wa | Family | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Public Hospital District No 4 Clinic
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1891488557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980450170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 FRONTIER AVE SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980655200",
"telephone_number": "425-831-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINE",
"first_name": "SAMANTHA",
"middle_name": "JULIA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61581836",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61581836",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "WA",
"license": "RN60849869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snoqualmie, WA
- Amy Marcella Sherek
- Shyue & Wu, DDS, PLLC (Snoqualmie Ridge Family Dental)
- Rebecca Silver, OTR/L
- Trina Annett Simon
- John C Sindorf, MD
- Stephanie Smith
- Snoqualmie Family Dentistry
- Snoqualmie Indian Tribe
- Snoqualmie Ridge Chiropractic, PLLC
- Snoqualmie Ridge Physical Therapy, P.S. (Peak Sports and Spine Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.