Active NPI
Nicole Lynn Samies, DO
- Pediatric Infectious Diseases Physician
- Danville, PA
National Provider Identifier
1912399510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- OS021187
- Practice address
- 100 N Academy Ave
Danville, PA 17822-1711 - Phone
- (570) 271-6211
- NPI assigned
- Feb 19, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO.1830 | AL | |
| Pediatrics Physician | 208000000X | OS021187 | PA | |
| Pediatric Infectious Diseases Physician | 2080P0208X | DO.1830 | AL | |
| Pediatric Infectious Diseases Physician | 2080P0208X | OS021187 | PA | Primary |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822-1711
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1830 | AL | MD | Pediatric Infectious Diseases Physician |
| OS021187 | PA | MD | Pediatric Infectious Diseases Physician |
| 1830 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Pediatrics | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Geisinger Medical Center | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
1600 7th Ave S
#308
Birmingham, AL 35233
703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
100 N Academy Ave
Danville, PA 17822
Interoperability endpoints
- nsamies123576@direct.geisinger.edu
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- West Hazleton, PA
- NPI 1902410673
-
dba UAHSF Department of Pediatrics
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
-
- General Acute Care Hospital
- Danville, PA
- NPI 1235215427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1912399510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178221711",
"telephone_number": "570-271-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIES",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "DO.1830",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS021187",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "AL",
"license": "DO.1830",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "PA",
"license": "OS021187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.